Provider Demographics
NPI:1457463671
Name:KAPLAN-SAGAL, LAUREN ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELLEN
Last Name:KAPLAN-SAGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3658
Mailing Address - Country:US
Mailing Address - Phone:908-522-1166
Mailing Address - Fax:908-522-1186
Practice Address - Street 1:332 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3658
Practice Address - Country:US
Practice Address - Phone:908-522-1166
Practice Address - Fax:908-522-1186
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA074857002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF28995Medicare UPIN
NJ073390Medicare PIN