Provider Demographics
NPI:1558699223
Name:AGRO, LAUREN DAWSON (CD (DONA), CPES(PBI))
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:DAWSON
Last Name:AGRO
Suffix:
Gender:F
Credentials:CD (DONA), CPES(PBI)
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:DAWSON
Other - Last Name:STREBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CD (DONA)
Mailing Address - Street 1:727 MULLIGAN LANE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158
Mailing Address - Country:US
Mailing Address - Phone:410-913-7085
Mailing Address - Fax:
Practice Address - Street 1:727 MULLIGAN LANE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21158
Practice Address - Country:US
Practice Address - Phone:410-913-7085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2763374J00000X
IN2763(DONA)374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula