Provider Demographics
NPI:1497334924
Name:HARTE, LAUREN MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MARY
Last Name:HARTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 MAIN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6766
Mailing Address - Country:US
Mailing Address - Phone:716-898-5053
Mailing Address - Fax:
Practice Address - Street 1:5500 MAIN ST STE 107
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6766
Practice Address - Country:US
Practice Address - Phone:716-898-5053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program