Healthcare Provider Details

I. General information

NPI: 1497118624
Provider Name (Legal Business Name): LAUREN MICHELLE HUGHES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN MICHELLE CLEVENGER

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 N SCOTTSDALE RD STE A178
SCOTTSDALE AZ
85253-3550
US

IV. Provider business mailing address

7373 N SCOTTSDALE RD STE A178
SCOTTSDALE AZ
85253-3550
US

V. Phone/Fax

Practice location:
  • Phone: 855-776-7266
  • Fax: 833-449-4003
Mailing address:
  • Phone: 855-776-7266
  • Fax: 833-449-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036147670
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number62773
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: