1306102744 NPI number — MRS. LAUREN CHRISTENSEN PARKER PH.D.

Table of content: MRS. LAUREN CHRISTENSEN PARKER PH.D. (NPI 1306102744)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306102744 NPI number — MRS. LAUREN CHRISTENSEN PARKER PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARKER
Provider First Name:
LAUREN
Provider Middle Name:
CHRISTENSEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHRISTENSEN
Provider Other First Name:
LAUREN
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1306102744
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/29/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1215 N COURTHOUSE RD
Provider Second Line Business Mailing Address:
APT#100
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22201-2420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-410-0776
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1215 N COURTHOUSE RD
Provider Second Line Business Practice Location Address:
APT#100
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22201-2420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-410-0776
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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