Provider Demographics
NPI:1790836989
Name:LASCASAS, LAUREN BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BETH
Last Name:LASCASAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:BETH
Other - Last Name:GIARGIANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9805 OLD WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6218
Mailing Address - Country:US
Mailing Address - Phone:410-480-1890
Mailing Address - Fax:
Practice Address - Street 1:6334 CEDAR LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3818
Practice Address - Country:US
Practice Address - Phone:301-596-6483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055812208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH32786Medicare UPIN