National Provider Identifier
Lauren Samantha Wiatrowski
Lauren Samantha Wiatrowski is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 322-5428.
Profile Overview
- NPI
- 1407323546
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- October 26, 2018
- Last Updated
- November 09, 2020
Practice Location
- 2475 Harlem RD # 4558
- Buffalo, NY 14225-4558
Phone: (716) 322-5428
Mailing Address
- 2475 Harlem RD
- Buffalo, NY 14225-4558
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1407323546
- Entity Type
- Individual
- Last Name
- Wiatrowski
- First Name
- Lauren
- Middle Name
- Samantha
- Name Prefix
- MS.
- Mailing Street Address
- 2475 Harlem RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4558
- Mailing Country
- US
- Practice Street Address
- 2475 Harlem RD # 4558
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14225-4558
- Practice Country
- US
- Practice Phone
- (716) 322-5428
- Enumeration Date
- October 26, 2018
- Last Updated
- November 09, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)