Provider Demographics
NPI:1780851246
Name:DEVINS, LAUREN MELISSA (NPP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MELISSA
Last Name:DEVINS
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MELISSA
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NPP
Mailing Address - Street 1:26405 LANGSTON AVE
Mailing Address - Street 2:APT A
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1042
Mailing Address - Country:US
Mailing Address - Phone:917-282-2910
Mailing Address - Fax:
Practice Address - Street 1:7559 263RD ST
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1150
Practice Address - Country:US
Practice Address - Phone:718-470-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY554256163WP0808X
NY401108363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health