| Doctor Name: | MS. LAUREN NICOLE SEWTER |
| NPI Number: | 1093945743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NR13431200 |
| Business Practice Address: | 2829 Atlantic Ave Atlantic City, NJ - 084016325 |
| Business Phone Number: | 6093484813 |
| Business Fax Number: | 6093452105 |
| Mailing Address: | 2829 Atlantic Ave, ATLANTIC CITY |
| State: | NJ |
| Postal Code: | 084016325 |
| Phone Number: | 6093484813 |
| Fax Number: | 6093452105 |
| NPI Enumeration Date: | 07/15/2009 |
| NPI Last Update Date: | 07/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NR13431200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |