Provider Demographics
NPI:1609160365
Name:LASANTA-TUAZON, LAUREN LEE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:LEE
Last Name:LASANTA-TUAZON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 MILLTOWN RD STE E22
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2287
Mailing Address - Country:US
Mailing Address - Phone:848-252-8625
Mailing Address - Fax:
Practice Address - Street 1:330 MILLTOWN RD STE E22
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2287
Practice Address - Country:US
Practice Address - Phone:848-252-8625
Practice Address - Fax:848-260-0772
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-30
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054446001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical