Provider Demographics
NPI:1740577238
Name:KAGAN, LAUREN (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:KAGAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 LINCOLN RD STE 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2409
Mailing Address - Country:US
Mailing Address - Phone:305-703-7633
Mailing Address - Fax:305-703-7662
Practice Address - Street 1:1111 LINCOLN RD STE 301
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2409
Practice Address - Country:US
Practice Address - Phone:305-703-7633
Practice Address - Fax:305-703-7662
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME135325208000000X
CAA114293208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103092700Medicaid