Provider Demographics
NPI:1609314764
Name:ATTERMANN, LAUREN (MSOT)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:ATTERMANN
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 15TH ST
Mailing Address - Street 2:5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3723
Mailing Address - Country:US
Mailing Address - Phone:201-207-9169
Mailing Address - Fax:
Practice Address - Street 1:201 E 15TH ST
Practice Address - Street 2:5A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3723
Practice Address - Country:US
Practice Address - Phone:201-207-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ366189174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist