Provider Demographics
NPI:1467946160
Name:BUCHANAN, LAUREN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 WINDING WOODS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-5080
Mailing Address - Country:US
Mailing Address - Phone:636-240-0130
Mailing Address - Fax:636-240-6822
Practice Address - Street 1:300 WINDING WOODS DR STE 100
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-5080
Practice Address - Country:US
Practice Address - Phone:636-240-0130
Practice Address - Fax:636-240-6822
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2022008005207V00000X
MO2018019962207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty