Individual provider · NPI-1

Dr. Lauren Elyse Dipasquale, Au.D.

Audiologist · Hackensack, NJ

NPI number1689115230
StatusActive
Last updated in NPPESMar 15, 2017

Details

NPI
1689115230
Entity type
Individual (NPI-1)
Name
Dr. Lauren Elyse Dipasquale
Credential
Au.D.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2017
Last updated
Mar 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist41YA00091400NJYes
237600000X Audiologist-Hearing Aid Fitter25MG00138600NJ

Practice location

20 Prospect Ave
Suite 808
Hackensack, NJ 07601-1997

Phone 201-820-4110

Mailing address

20 Prospect Ave
Suite 808
Hackensack, NJ 07601-1997

Phone 201-820-4110

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