1881944007 NPI number — MRS. LAUREN MARIE ZIEGLER PA-C

Table of content: MRS. LAUREN MARIE ZIEGLER PA-C (NPI 1881944007)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881944007 NPI number — MRS. LAUREN MARIE ZIEGLER PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZIEGLER
Provider First Name:
LAUREN
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MYERS
Provider Other First Name:
LAUREN
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881944007
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/24/2018
NPI Reactivation Date:
07/27/2018

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 S. HENDERSON ROAD
Provider Second Line Business Mailing Address:
SUITE #308-C
Provider Business Mailing Address City Name:
KING OF PRUSSIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-337-3111
Provider Business Mailing Address Fax Number:
610-337-3506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 E TOWNSHIP LINE RD
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
HAVERTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19083-5733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-458-1000
Provider Business Practice Location Address Fax Number:
484-458-1001
Provider Enumeration Date:
09/14/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  MA055619 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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