Provider Demographics
NPI:1508333949
Name:HARLOW, LAUREN A (DH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:HARLOW
Suffix:
Gender:F
Credentials:DH
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:A
Other - Last Name:PARTINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033-0338
Mailing Address - Country:US
Mailing Address - Phone:802-222-4637
Mailing Address - Fax:802-222-5674
Practice Address - Street 1:146 MILL ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:VT
Practice Address - Zip Code:05033-4456
Practice Address - Country:US
Practice Address - Phone:802-222-4637
Practice Address - Fax:802-222-5674
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT015.0094009124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist