Provider Demographics
NPI:1750673166
Name:OKON, LAUREN GOLDLUST (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:GOLDLUST
Last Name:OKON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:833 CHESTNUT ST STE 740
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4409
Mailing Address - Country:US
Mailing Address - Phone:215-955-6680
Mailing Address - Fax:
Practice Address - Street 1:707 WHITE HORSE RD STE C103
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2461
Practice Address - Country:US
Practice Address - Phone:856-627-1900
Practice Address - Fax:856-627-6907
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2020-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA10254800207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology