National Provider Identifier

Lauren Chmielewski

Lauren Chmielewski is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 277-2170.

NPI 1063388221Ithaca, NYPhysician Assistant

Profile Overview

NPI
1063388221
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 15, 2025
Last Updated
October 15, 2025

Practice Location

  • 905 Hanshaw RD Ste C
  • Ithaca, NY 14850-1549

Phone: (607) 277-2170

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1063388221
Entity Type
Individual
Last Name
Chmielewski
First Name
Lauren
Mailing Street Address
905 Hanshaw RD Ste C
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1549
Mailing Country
US
Mailing Phone
(607) 277-2170
Practice Street Address
905 Hanshaw RD Ste C
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1549
Practice Country
US
Practice Phone
(607) 277-2170
Enumeration Date
October 15, 2025
Last Updated
October 15, 2025
Sex
Female
Sole Proprietor
No
Certification Date
October 15, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)