Healthcare Provider Details

I. General information

NPI: 1306379110
Provider Name (Legal Business Name): LAUREN MARIE SIGSWORTH HARPER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN SIGSWROTH

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 CLUB CENTER DR STE G
SAN BERNARDINO CA
92408-4162
US

IV. Provider business mailing address

54701 FILE NUMBER
LOS ANGELES CA
90074-4701
US

V. Phone/Fax

Practice location:
  • Phone: 909-835-1802
  • Fax:
Mailing address:
  • Phone: 909-651-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA162796
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License NumberA162796
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number35.142403
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: