Individual provider · Type 1 NPI
Lauren Thomas
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1417524828
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
2310 Edge Hill Rd
Huntingdon Valley, PA 19006-5618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP023082 (PA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP023082 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1417524828
Lauren Thomas's National Provider Identifier is 1417524828, issued on Jun 6, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 6, 2021.