Provider Demographics
NPI:1841398088
Name:MONTI, LAUREN B (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:B
Last Name:MONTI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:WADLEY TOWER, SUITE 560
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1905
Mailing Address - Country:US
Mailing Address - Phone:214-828-9495
Mailing Address - Fax:214-823-1230
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:WADLEY TOWER, SUITE 560
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1905
Practice Address - Country:US
Practice Address - Phone:214-828-9495
Practice Address - Fax:214-823-1230
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2010-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH8266207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE56708Medicare UPIN
TX00K67WMedicare ID - Type Unspecified