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Contact Information

LAUREN SRIVASTAVA
250 TIDE WAY
MORGANTOWN, WV26508-1800
 Phone: 484-802-7238
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for LAUREN SRIVASTAVA · (Female)

NPI # 1811675952
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2023
Last updated 07/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 4643
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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