Provider Demographics
NPI:1891334561
Name:GINSBURG, LAUREN LESLIE (CNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:LESLIE
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HOOP POLE LN
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1230
Mailing Address - Country:US
Mailing Address - Phone:781-799-5629
Mailing Address - Fax:
Practice Address - Street 1:25 HOOP POLE LN
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1230
Practice Address - Country:US
Practice Address - Phone:781-799-5629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA280817363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health