Provider Demographics
NPI:1669704151
Name:O'BRIEN, LAUREN (MED)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 DOVE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-8112
Mailing Address - Country:US
Mailing Address - Phone:215-872-4556
Mailing Address - Fax:
Practice Address - Street 1:292 PAOLI PIKE
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-2960
Practice Address - Country:US
Practice Address - Phone:215-527-7228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst