| Doctor Name: | MRS. LAUREN ANNE CARUCCI |
| NPI Number: | 1003262064 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 26NJ00629800 |
| Business Practice Address: | 30 Prospect Ave Hackensack, NJ - 076011915 |
| Business Phone Number: | 5519962000 |
| Business Fax Number: | |
| Mailing Address: | 569 Cleveland Ave, RIVER VALE |
| State: | NJ |
| Postal Code: | 076755630 |
| Phone Number: | 2017392267 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2016 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00629800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |