Provider Demographics
NPI:1043500416
Name:DRAPER, LAUREN RHAE (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:RHAE
Last Name:DRAPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:RHAE
Other - Last Name:YANCEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1465 S GRAND BLVD
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS DIVISION OF HEME/ONC
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104
Mailing Address - Country:US
Mailing Address - Phone:314-577-5638
Mailing Address - Fax:314-268-4081
Practice Address - Street 1:1465 S GRAND BLVD
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS DIVISION OF HEME/ONC
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104
Practice Address - Country:US
Practice Address - Phone:314-577-5638
Practice Address - Fax:314-268-4081
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180102342080P0207X, 2080P0207X
UT9352116-12052080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology