Provider Demographics
NPI:1790049823
Name:ZAGARI, LAUREN THERESA
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:THERESA
Last Name:ZAGARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 ANNUSKEMUNNICA RD
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-4402
Mailing Address - Country:US
Mailing Address - Phone:631-669-1269
Mailing Address - Fax:
Practice Address - Street 1:53 ANNUSKEMUNNICA RD
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-4402
Practice Address - Country:US
Practice Address - Phone:631-669-1269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist