Provider / Organization | NPI | Date Certified |
---|---|---|
LAUREN ANNE WANOSKY | 1093914954 | 2024-11-08 |
Lauren Anne Wanosky is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093914954. Registration indicates Lauren Anne Wanosky is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )
Registration | PART-B:Y DME:Y HHA:N PMD:N |
Entity Type | Individual |
Provider Name | Dr. Lauren Anne Wanosky DMD |
Practice Office Address | 31400 BRADLEY RD NORTH OLMSTED, OH US |
Practice Office Telephone | 4407770177 |
Practice Office Fax | 4407778137 |
Mailing Address | 31400 BRADLEY RD NORTH OLMSTED, OH 440703877 US |
Business Telephone | 4407770177 |
Business Fax | 4407778137 |
Code | Practice | License No State |
---|---|---|
1223G0001X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 30-022602
OH |