Provider Demographics
NPI:1073924528
Name:ALLISON, LAUREN FRANCES (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:FRANCES
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1563 POST RD E
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-5602
Mailing Address - Country:US
Mailing Address - Phone:203-319-3939
Mailing Address - Fax:203-319-3955
Practice Address - Street 1:1563 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5602
Practice Address - Country:US
Practice Address - Phone:203-319-3939
Practice Address - Fax:203-319-3955
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT56299208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty