Provider Demographics
NPI:1215494430
Name:CHOI, LAUREN MEEHAE (DDS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MEEHAE
Last Name:CHOI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 W 72ND ST APT 2108
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2710
Mailing Address - Country:US
Mailing Address - Phone:813-786-4498
Mailing Address - Fax:
Practice Address - Street 1:919 2ND AVE # 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1582
Practice Address - Country:US
Practice Address - Phone:212-949-6105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-24
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061506011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice