Provider Demographics
NPI:1891935086
Name:TAVANI, LAUREN M (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:M
Last Name:TAVANI
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON ROAD
Practice Address - Street 2:CHRISTIANA HOSPITAL, 3RD FLOOR MICU
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-733-3475
Practice Address - Fax:302-325-7056
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2017-07-10
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Provider Licenses
StateLicense IDTaxonomies
DEC5-0000631363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical