Provider Demographics
NPI:1831901305
Name:LARKIN, LAUREN M (FNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:M
Last Name:LARKIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2106
Mailing Address - Country:US
Mailing Address - Phone:914-584-6293
Mailing Address - Fax:
Practice Address - Street 1:661 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-1300
Practice Address - Country:US
Practice Address - Phone:631-376-3880
Practice Address - Fax:631-376-3881
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF355197-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily