Provider Demographics
NPI:1821581034
Name:NORMAN, LAUREN WHITNEY (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:WHITNEY
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:660 MASON RIDGE CENTER DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8512
Mailing Address - Country:US
Mailing Address - Phone:314-448-3791
Mailing Address - Fax:314-996-7658
Practice Address - Street 1:1225 GRAHAM RD STE 230C
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8012
Practice Address - Country:US
Practice Address - Phone:314-953-6801
Practice Address - Fax:314-953-8272
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2024-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAR-11315207Q00000X
IL036157039207Q00000X
MO2024028363207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine