Provider Demographics
NPI:1144087677
Name:JANOSKI, LAUREN ANN
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ANN
Last Name:JANOSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 SCHUYLER AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-3322
Mailing Address - Country:US
Mailing Address - Phone:570-283-5917
Mailing Address - Fax:570-763-0067
Practice Address - Street 1:256 SCHUYLER AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-3322
Practice Address - Country:US
Practice Address - Phone:570-283-5917
Practice Address - Fax:570-763-0067
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OC012923225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology