Most Relevant Information
Provider Data
| NPI Number: | 1003247594 |
| Provider Name: | LAUREN MICHELLE MUCCI M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | TL-2290 |
Most Important Dates
| Enumeration Date: | 12/09/2013 |
| Last Updated: | 12/09/2013 |
Provider Practice Location
18-01 POLLITT DR
FAIR LAWN
NJ
07410
Practice Location Phone/Fax
| Phone: | 2014784200 |
| Fax: |
Provider Mailing Location
19 CARLTON TERRACE
BLOOMFIELD
NJ
07003
Provider Mailing Phone/Fax
| Phone: | 2012071457 |
| Fax: |