Provider Demographics
NPI:1982101952
Name:HOWARD, LAUREN EILEEN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:EILEEN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5634 S INDIANAPOLIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-4164
Mailing Address - Country:US
Mailing Address - Phone:918-691-4001
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS WAY # 512-19AB
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-2833
Practice Address - Fax:501-364-2880
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-14766208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program