Dr. David M Lauren, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47449 Issued in CT

Legal business name

DR. DAVID M LAUREN, INC

Doing business as

Family Practice Professionals

Practice address

113 Wesley Dr
Huntington, CT 06484-5248

Phone

(203) 929-2165

Fax

(203) 929-2165

NPI assigned

Aug 23, 2006

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David M Lauren, D.O.

Title

Physician

Phone

(203) 929-2165

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FAMILY PRACTICE PROFESSIONALS Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1063528677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WESLEY DR",
            "city": "HUNTINGTON",
            "state": "CT",
            "postal_code": "064845248",
            "telephone_number": "203-929-2165",
            "fax_number": "203-929-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WESLEY DR",
            "city": "HUNTINGTON",
            "state": "CT",
            "postal_code": "064845248",
            "telephone_number": "203-929-2165",
            "fax_number": "203-929-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID M LAUREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "LAUREN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-929-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "47449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0984672",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PRACTICE PROFESSIONALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.