Provider Demographics
NPI:1164840963
Name:SPIEGEL, LAUREN LEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:LEN
Last Name:SPIEGEL
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 1:16130 JUAN HERNANDEZ DR STE 110
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5527
Mailing Address - Country:US
Mailing Address - Phone:408-778-4886
Mailing Address - Fax:408-778-4844
Practice Address - Street 1:16130 JUAN HERNANDEZ DR STE 110
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5527
Practice Address - Country:US
Practice Address - Phone:408-778-4886
Practice Address - Fax:408-778-4844
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1536052084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA153605OtherMEDICAL LICENSE