Healthcare Provider Details

I. General information

NPI: 1104210046
Provider Name (Legal Business Name): LAUREN MICHELLE SHAPIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 OWENS STREET
SAN FRANCISCO CA
94158
US

IV. Provider business mailing address

1500 OWENS STREET
SAN FRANCISCO CA
94158
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7584
  • Fax: 415-353-7200
Mailing address:
  • Phone: 415-353-7584
  • Fax: 415-353-7200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberA145241
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA145241
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: