Whalio Doctors

NPI 1023337763

Lauren Audrey Licata, MD

Practitioner Surgery Physician Middletown, NY

Practice location

Address
707 E Main St, Middletown, NY 10940-2650
Phone
(845) 333-7575

Registered specialties (3)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 278537 (NY)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 255MA08698600 (NJ)
Surgical Critical Care Physician
Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence 35123573 (OH)

Registry record

NPI
1023337763
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 May 2010
Record last updated
12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.