Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 009029 | CT |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 382726 | NY |
NPI | 1033568217 |
---|---|
Provider Name | Miss Lauren Pambianchi |
First Address | Ridgefield, CT 06877-3038 |
Second Address | Ridgefield, CT 06877-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2016 |
Last Update Date | 03/08/2020 |