Most Relevant Information
Provider Data
| NPI Number: | 1003376567 |
| Provider Name: | LAUREN KRISTEN BOTERO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2019 |
| Last Updated: | 02/04/2022 |
Provider Practice Location
1000 10TH AVE
NEW YORK
NY
100191147
Practice Location Phone/Fax
| Phone: | 2125234000 |
| Fax: |
Provider Mailing Location
1000 10TH AVE
NEW YORK
NY
100191147
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |