Provider Demographics
NPI:1477915866
Name:RIDDERIKHOFF, LAUREN RAMSEY (DO)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:RAMSEY
Last Name:RIDDERIKHOFF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 LEAWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3375
Mailing Address - Country:US
Mailing Address - Phone:502-223-0231
Mailing Address - Fax:
Practice Address - Street 1:1001 LEAWOOD DR STE C
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3375
Practice Address - Country:US
Practice Address - Phone:502-223-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY04385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty