Provider Demographics
NPI:1467893073
Name:WOOD, LAUREN VIRGINIA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:VIRGINIA
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 CENTER DRIVE MSC 1578
Mailing Address - Street 2:BUILDING 10 ROOM 4A22
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1578
Mailing Address - Country:US
Mailing Address - Phone:301-402-0199
Mailing Address - Fax:301-480-8437
Practice Address - Street 1:10 CENTER DRIVE MSC 1578
Practice Address - Street 2:BUILDING 10 ROOM 4A22
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1578
Practice Address - Country:US
Practice Address - Phone:301-402-0199
Practice Address - Fax:301-480-8437
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0037712207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology