Lauren Cordova, PA-C
Physician Assistant in Poughkeepsie, NY. Individual provider (NPI-1).
NPI number1760196471
StatusActive
Last updated in NPPESJan 9, 2023
Details
- NPI
- 1760196471
- Entity type
- Individual (NPI-1)
- Name
- Lauren Cordova
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2023
- Certification date
- Jan 7, 2023
- Last updated
- Jan 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
45 Reade PlPoughkeepsie, NY 12601-3947
Phone 845-454-8500
Mailing address
51 Traci LnHopewell Junction, NY 12533-6009
Phone 845-674-5324
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 105 Physician Assistant providers in Poughkeepsie · All 4,349 providers in Poughkeepsie
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