Provider Demographics
NPI:1952786477
Name:SCANLON, LAUREN ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ROSE
Last Name:SCANLON
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 1:9 VERMONT DR FL 1
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1128
Mailing Address - Country:US
Mailing Address - Phone:516-812-3740
Mailing Address - Fax:
Practice Address - Street 1:9 VERMONT DR FL 1
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1128
Practice Address - Country:US
Practice Address - Phone:516-812-3740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-26
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital