Basic Information
| Provider Information | |||||||||
| NPI: | 1013144815 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUCHORSKI | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | MICHELE | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2324 ACADEMY DR | ||||||||
| Address2: | |||||||||
| City: | BENSALEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190203688 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156393944 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1201 LANGHORNE NEWTOWN RD | ||||||||
| Address2: | |||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157102100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2009 | ||||||||
| LastUpdateDate: | 07/13/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207P00000X | OS020092 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.