Provider Demographics
NPI:1821350315
Name:TENNYSON, LAUREN ESME' (MD)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ESME'
Last Name:TENNYSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:ESME'
Other - Last Name:GINSBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:F677 PRESBYTERIAN HOSPITAL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:F677 PRESBYTERIAN HOSPITAL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-3389
Practice Address - Fax:412-647-1999
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT201377208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology