Doctor Name: | LAUREN MARGARET PANICO |
NPI Number: | 1063675122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP |
License Number: | F430410-1 |
Business Practice Address: | 3 Forest Road Mahopac, NY - 10541 |
Business Phone Number: | 5165108389 |
Business Fax Number: | |
Mailing Address: | 3 Forest Road, MAHOPAC |
State: | NY |
Postal Code: | 10541 |
Phone Number: | 5165108389 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2008 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | F430410-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |