Gundrum, Lauren

Gundrum, Lauren is an individual health care provider with primary practice located at 80 Sharron Ave , Plattsburgh NY 12901-4700. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gundrum, Lauren can be contacted via phone (518) 561-1447.

Contact Information

Primary practice address
80 Sharron Ave Plattsburgh NY 12901-4700
Phone: (518) 561-1447
Fax: (518) 562-8812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1356893663
LBN Legal business name Gundrum, Lauren
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Dec 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356893663 NPPES
New York MEDICAID 01420800

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