Provider Demographics
NPI:1407087349
Name:PIHLGREN, LAUREN ANNE (NMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ANNE
Last Name:PIHLGREN
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 W. HWY 89A
Mailing Address - Street 2:SUITE B-4
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336
Mailing Address - Country:US
Mailing Address - Phone:928-649-0269
Mailing Address - Fax:866-644-6363
Practice Address - Street 1:2030 W. HWY 89A
Practice Address - Street 2:SUITE B-4
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336
Practice Address - Country:US
Practice Address - Phone:928-649-0269
Practice Address - Fax:866-644-6363
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-11062083S0010X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports Medicine