Individual provider · Type 1 NPI
Lauren Jo Havens, MSN, FNP
Addiction Medicine (Family Medicine) Physician · Fayetteville, NY
NPI number
1235279407
Active
Practice location
519 E Genesee St
Fayetteville, NY 13066-1536
Fax (315) 305-5029
Mailing address
4605 Pewter Ln
Manlius, NY 13104-9329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 334767 (NY) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1235279407
Lauren Jo Havens, MSN, FNP's National Provider Identifier is 1235279407, issued on Feb 7, 2007. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Fayetteville, NY. The record was last updated on Aug 1, 2026.