Provider Demographics
NPI:1255537635
Name:BURGER, LAUREN E (DDS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:E
Last Name:BURGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3319 BON SEJOUR AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-5081
Mailing Address - Country:US
Mailing Address - Phone:225-921-4027
Mailing Address - Fax:
Practice Address - Street 1:8220 GOODWOOD BLVD
Practice Address - Street 2:STE 4B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7741
Practice Address - Country:US
Practice Address - Phone:225-927-1515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5554122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist