Provider Demographics
NPI:1851329239
Name:LE, LAUREN N (DPM)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:N
Last Name:LE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:NHU
Other - Middle Name:N
Other - Last Name:DUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:945 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6756
Mailing Address - Country:US
Mailing Address - Phone:805-483-7799
Mailing Address - Fax:805-487-4841
Practice Address - Street 1:945 W 7TH ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6756
Practice Address - Country:US
Practice Address - Phone:805-483-7799
Practice Address - Fax:805-487-4841
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4231213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU76393Medicare UPIN