Provider Demographics
NPI:1881615664
Name:FRIEDLY, LAUREN MARKELLE (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MARKELLE
Last Name:FRIEDLY
Suffix:
Gender:F
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:PHYSICIAN HR DEPT 901 MARSHALL ST.
Mailing Address - Street 2:C334
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2026
Mailing Address - Country:US
Mailing Address - Phone:650-299-2606
Mailing Address - Fax:
Practice Address - Street 1:1501 TROUSDALE DR
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4506
Practice Address - Country:US
Practice Address - Phone:650-288-0602
Practice Address - Fax:650-648-1313
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80912207R00000X
IDM-14894208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A809120Medicaid
CAP00286946OtherRAILROAD MEDICARE
CA00A809120Medicaid
CAP00286946OtherRAILROAD MEDICARE