Provider Demographics
NPI:1497073944
Name:HENDRIX, LAUREN NASH (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:NASH
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 GOODYEAR AVE
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1156
Mailing Address - Country:US
Mailing Address - Phone:256-492-4040
Mailing Address - Fax:256-492-4017
Practice Address - Street 1:713 GOODYEAR AVE
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1156
Practice Address - Country:US
Practice Address - Phone:256-492-4040
Practice Address - Fax:256-492-4017
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.34181208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1497073944OtherNPI