Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | H0082711 | MD |
NPI | 1013278431 |
---|---|
Provider Name | Lauren M Segal |
First Address | Philadelphia, PA 19114-4200 |
Second Address | Bel Air, MD 21014-4324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2012 |
Last Update Date | 17/03/2018 |