| Doctor Name: | LAUREN M. GAYNOR |
| NPI Number: | 1043598006 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00533800 |
| Business Practice Address: | 2322 New Rd Northfield, NJ - 082251440 |
| Business Phone Number: | 6096410200 |
| Business Fax Number: | |
| Mailing Address: | 6900 Atlantic Ave, WILDWOOD CREST |
| State: | NJ |
| Postal Code: | 082603904 |
| Phone Number: | 6099729114 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2011 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NJ00533800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |