Most Relevant Information
Provider Data
| NPI Number: | 1003550708 |
| Provider Name: | LAUREN I KASOFF |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
833 CHESTNUT STREET
SUITE 301
PHILADELPHIA
PA
191074414
Practice Location Phone/Fax
| Phone: | 2159557190 |
| Fax: |
Provider Mailing Location
833 CHESTNUT STREET
SUITE 301
PHILADELPHIA
PA
191074414
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |