Provider Demographics
NPI:1295472389
Name:ALLEN, LAUREN SHELBY
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:SHELBY
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8695 ROSEWOOD AVE NW APT 1
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-4793
Mailing Address - Country:US
Mailing Address - Phone:228-223-2430
Mailing Address - Fax:
Practice Address - Street 1:3164 EASTVIEW DR
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-4225
Practice Address - Country:US
Practice Address - Phone:330-743-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator