Provider Demographics
NPI:1447452867
Name:MUNSCH DAL FARRA, LAUREN E (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:E
Last Name:MUNSCH DAL FARRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:MUNSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:435 SOUTH ST
Mailing Address - Street 2:STE 160
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6477
Mailing Address - Country:US
Mailing Address - Phone:973-971-6301
Mailing Address - Fax:
Practice Address - Street 1:9160 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-1874
Practice Address - Country:US
Practice Address - Phone:314-801-8898
Practice Address - Fax:314-787-4477
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252660207R00000X
NJ25MA10457000207R00000X
MO2013042943207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine