Basic Information
Provider Information
NPI: 1447736442
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALBU
FirstName: LAUREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2500 BERNVILLE RD
Address2:  
City: READING
State: PA
PostalCode: 196059453
CountryCode: US
TelephoneNumber: 6103782000
FaxNumber: 6103782799
Practice Location
Address1: 145 N 6TH ST FL 2
Address2:  
City: READING
State: PA
PostalCode: 196013096
CountryCode: US
TelephoneNumber: 6102084543
FaxNumber: 6103782441
Other Information
ProviderEnumerationDate: 07/13/2018
LastUpdateDate: 08/21/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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