Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Russo

Individual provider Physician Assistant · NPI 1679340830

Lauren Russo is a Physician Assistant in Deer Park, New York. Qualified in 2023, 3 years ago. Practices with Schweiger Dermatology PLLC, a 248-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

505 Grand Blvd Ste 1
Deer Park, NY 11729-5300
Phone: (631) 243-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1679340830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2023
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address17 Black Gum Tree Ln, Kings Park, NY 11754-1746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Schweiger Dermatology Pllc — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Deer Park