Active NPI
Lauren Lauck Bogue, M.D.,F.A.A.P.
- Pediatrics Physician
- Lutherville, MD
National Provider Identifier
1346237922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0037986
- Practice address
- 10755 Falls Road
Suite 260
Lutherville, MD 21093-4515 - Phone
- (410) 583-2955
- Fax
- (410) 583-2962
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0037986 | MD | Primary |
Addresses
Primary practice location
10755 Falls Road
Suite 260
Lutherville, MD 21093-4515
Mailing address
10755 Falls Road
Suite 260
Lutherville, MD 21093-4515
Phone (410) 583-2955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0037986 | MD | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1346237922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 FALLS ROAD",
"address_2": "SUITE 260",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934515",
"telephone_number": "410-583-2955",
"fax_number": "410-583-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10755 FALLS ROAD",
"address_2": "SUITE 260",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934515",
"telephone_number": "410-583-2955",
"fax_number": "410-583-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGUE",
"first_name": "LAUREN",
"middle_name": "LAUCK",
"credential": "M.D.,F.A.A.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0037986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.