Provider Demographics
NPI:1881191591
Name:TIPTON, LAUREN ASHLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ASHLEY
Last Name:TIPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:75 ROWLAND WAY STE 220
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5039
Mailing Address - Country:US
Mailing Address - Phone:682-336-5460
Mailing Address - Fax:628-240-2141
Practice Address - Street 1:75 ROWLAND WAY STE 220
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5039
Practice Address - Country:US
Practice Address - Phone:682-336-5460
Practice Address - Fax:628-240-2141
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1664132084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry