Lena Laurentik

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH072197 Issued in PA

Practice address

3162 Richmond St
Philadelphia, PA 19134-5827

Phone

(215) 739-8008

Fax

(215) 739-8022

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• La Dental Associates Inc

  • Dental Clinic/Center
  • Philadelphia, PA
  • NPI 1912718610
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1154925170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 DEDAKER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153112",
            "telephone_number": "267-902-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 RICHMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191345827",
            "telephone_number": "215-739-8008",
            "fax_number": "215-739-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENTIK",
        "first_name": "LENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH072197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Square Healthcare and Rehabilitation Center LLC
• Lauren Krug, PH.D., LLC
• Lauren'S House North Philadelphia, LLC
• Julie A Laureni, PA-C
• Ma Gilda Laurente, PT
• Lauri Haines Psychotherapy
• Mark Lauria, MD
• Ashley Lauriello
• John Lauriello, MD
• Naomi Fishlow Lauriello, M.D.

• Dental Hygienist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.