Provider Demographics
NPI:1255112793
Name:CUNNINGHAM, LAUREN ROSE (WHNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ROSE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 FENWAY RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-1814
Mailing Address - Country:US
Mailing Address - Phone:412-417-2275
Mailing Address - Fax:
Practice Address - Street 1:125 NATURE PARK RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7933
Practice Address - Country:US
Practice Address - Phone:724-552-0352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA104148992207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology