Provider Demographics
NPI:1548914278
Name:EUSNER, LAUREN NICOLE STRUM (RDH)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:NICOLE STRUM
Last Name:EUSNER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:NICOLE STRUM
Other - Last Name:BITTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:325 57TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-2049
Mailing Address - Country:US
Mailing Address - Phone:757-810-1500
Mailing Address - Fax:
Practice Address - Street 1:287 INDEPENDENCE BLVD STE 311
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-2916
Practice Address - Country:US
Practice Address - Phone:757-497-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist