Individual provider · Type 1 NPI

Lauren Nicole Russo

Family Nurse Practitioner · Stony Brook, NY

NPI number 1780435891 Active

Practice location

101 Nicholls Road
Stony Brook, NY 11794-3226

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X353391 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1780435891

Lauren Nicole Russo's National Provider Identifier is 1780435891, issued on Mar 27, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 2, 2026.