Provider Demographics
NPI:1730313735
Name:SALMON, LAUREN ELISABETH (DO)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELISABETH
Last Name:SALMON
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Gender:F
Credentials:DO
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:RIVERSIDE MEDICAL GROUP
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:
Practice Address - Street 1:5839 HARBOUR VIEW BLVD STE 100
Practice Address - Street 2:CANCER SPECIALISTS OF TIDEWATER
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2657
Practice Address - Country:US
Practice Address - Phone:757-397-4200
Practice Address - Fax:757-397-3872
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2016-08-02
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Provider Licenses
StateLicense IDTaxonomies
VA0102204402207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology