Most Relevant Information
Provider Data
| NPI Number: | 1003262064 |
| Provider Name: | LAUREN ANNE CARUCCI NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00629800 |
Most Important Dates
| Enumeration Date: | 05/09/2016 |
| Last Updated: | 05/09/2016 |
Provider Practice Location
30 PROSPECT AVE
HACKENSACK
NJ
076011915
Practice Location Phone/Fax
| Phone: | 5519962000 |
| Fax: |
Provider Mailing Location
569 CLEVELAND AVE
RIVER VALE
NJ
076755630
Provider Mailing Phone/Fax
| Phone: | 2017392267 |
| Fax: |