Healthcare Provider Details

I. General information

NPI: 1841785599
Provider Name (Legal Business Name): LAUREN EVANS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST FL 6
SAN FRANCISCO CA
94143-2549
US

IV. Provider business mailing address

2 MORRILL CT
OAKLAND CA
94618-2232
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-6493
  • Fax:
Mailing address:
  • Phone: 650-303-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number155766
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number155766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: