| Doctor Name: | MS. LAUREN MICHELE DE LUCIA |
| NPI Number: | 1053346262 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | NJ00060000 |
| Business Practice Address: | 7617 Kennedy Blvd North Bergen, NJ - 070474024 |
| Business Phone Number: | 2018541500 |
| Business Fax Number: | 2018541505 |
| Mailing Address: | 7617 Kennedy Blvd, NORTH BERGEN |
| State: | NJ |
| Postal Code: | 070474024 |
| Phone Number: | 2018541500 |
| Fax Number: | 2018541505 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 12/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC0200X |
| License Number: | NJ00060000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |