Dr. Lauren Blackwell, MD
Internal Medicine, Pulmonary Disease in Newark, NJ. Individual provider (NPI-1).
NPI number1982921888
StatusActive
Last updated in NPPESMar 29, 2022
Details
- NPI
- 1982921888
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lauren Blackwell
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2010
- Certification date
- Mar 29, 2022
- Last updated
- Mar 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 286735 | NY | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 286735 | NY |
Practice location
150 Bergen StRoom I-248
Newark, NJ 07103-2496
Phone 973-972-6056 · Fax 973-972-3129
Mailing address
150 Bergen StRoom I-248
Newark, NJ 07103-2496
Phone 973-972-6056 · Fax 973-972-3129
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