Provider Demographics
NPI:1932458213
Name:WOOD, LAUREN VIRGINIA (MD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:VIRGINIA
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6602 WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2758
Mailing Address - Country:US
Mailing Address - Phone:678-899-5225
Mailing Address - Fax:912-350-6001
Practice Address - Street 1:6602 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2758
Practice Address - Country:US
Practice Address - Phone:678-899-5225
Practice Address - Fax:912-350-6001
Is Sole Proprietor?:No
Enumeration Date:2012-09-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2019-02125207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine