Provider Demographics
NPI:1912392770
Name:LAUDER, JHENETTE RENEE (MD, MSCI, FACOG)
Entity Type:Individual
Prefix:DR
First Name:JHENETTE
Middle Name:RENEE
Last Name:LAUDER
Suffix:
Gender:F
Credentials:MD, MSCI, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BRADHURST AVE STE 2750S
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2140
Mailing Address - Country:US
Mailing Address - Phone:914-493-2250
Mailing Address - Fax:
Practice Address - Street 1:3900 HAMILTON BLVD STE 201
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6122
Practice Address - Country:US
Practice Address - Phone:484-664-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11166853-1205207V00000X, 207VM0101X
NY315443207VM0101X
PAMD483031207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology