Provider Demographics
NPI:1740557750
Name:D'ANNUNZIO, LAUREN ABBIE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:ABBIE
Last Name:D'ANNUNZIO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:ABBIE
Other - Last Name:DANNUNZIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SRNA
Mailing Address - Street 1:1201 NOTT ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-374-3123
Mailing Address - Fax:518-374-9711
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-374-3123
Practice Address - Fax:518-374-9711
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY564327-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400061734Medicare PIN
NYP01055914Medicare PIN