Provider Demographics
NPI:1720209513
Name:BASKIN, LAUREN J
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:J
Last Name:BASKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O . BOX 442
Mailing Address - Street 2:
Mailing Address - City:EAST CLARIDON
Mailing Address - State:OH
Mailing Address - Zip Code:44033-0442
Mailing Address - Country:US
Mailing Address - Phone:440-635-0061
Mailing Address - Fax:
Practice Address - Street 1:12605 BOGGY CREEK DR.
Practice Address - Street 2:
Practice Address - City:HUNTSBURG
Practice Address - State:OH
Practice Address - Zip Code:44046
Practice Address - Country:US
Practice Address - Phone:440-635-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist