Provider Demographics
NPI:1881117646
Name:KUNIS, LAUREN C (CPD)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:C
Last Name:KUNIS
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-3035
Mailing Address - Country:US
Mailing Address - Phone:917-617-7905
Mailing Address - Fax:
Practice Address - Street 1:46 W 1ST ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-3035
Practice Address - Country:US
Practice Address - Phone:917-617-7905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula