Provider Demographics
NPI:1306197652
Name:BARROQUEIRO, LAUREN ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BARROQUEIRO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:119 US HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:GREEN BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-2147
Mailing Address - Country:US
Mailing Address - Phone:908-333-4234
Mailing Address - Fax:
Practice Address - Street 1:119 ROUTE 22
Practice Address - Street 2:CARBON HEALTH URGENT CARE
Practice Address - City:GREEN BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08812
Practice Address - Country:US
Practice Address - Phone:908-333-4234
Practice Address - Fax:718-904-2517
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY23016036363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant