Individual provider · Type 1 NPI
Lauren M. Massimo, CRNP
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1063619682
Active
Practice location
3400 Civic Center Blvd, 2nd Floor, South Pavilion
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP009113 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1063619682
Lauren M. Massimo, CRNP's National Provider Identifier is 1063619682, issued on Jun 28, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 10, 2015.