Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 303949 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 303949 | NY |
NPI | 1346683034 |
---|---|
Provider Name | Lauren Elizabeth Stewart |
First Address | Providence, RI 02905-5010 |
Second Address | New York, NY 10017-6739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 16/04/2021 |