Individual provider · Type 1 NPI

Lauren Devito, PA

Surgical Physician Assistant · Mineola, NY

NPI number 1477837136 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Mailing address

49 Cumberland St
Rockville Centre, NY 11570-5111

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X015157 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1477837136

Lauren Devito, PA's National Provider Identifier is 1477837136, issued on Sep 29, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mineola, NY. The record was last updated on Nov 2, 2017.