Provider Demographics
NPI:1659790467
Name:TITONE, LAUREN MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MICHELE
Last Name:TITONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:622 W 168TH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:212-305-8536
Mailing Address - Fax:513-558-5791
Practice Address - Street 1:622 W 168TH ST STE 260
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-8536
Practice Address - Fax:513-558-5791
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.129762207P00000X
NJ25MA11460000207P00000X
NY293914207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine