Provider Demographics
NPI:1821217191
Name:WEISSMANN, LAUREN (MD)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:WEISSMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:MILMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MILMAN
Mailing Address - Street 1:400 LIPPINCOTT DRIVE SUITE 130
Mailing Address - Street 2:SOUTH JERSEY FERTILITY
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-282-1231
Mailing Address - Fax:
Practice Address - Street 1:400 LIPPINCOTT DR STE 130
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4161
Practice Address - Country:US
Practice Address - Phone:856-282-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444301207VE0102X
NJ25MA10144900207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology