Healthcare Provider Details

I. General information

NPI: 1861854093
Provider Name (Legal Business Name): LAUREN CHURCHILL DOERFLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN PARKER MD

II. Dates (important events)

Enumeration Date: 03/26/2016
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-5721
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25985
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10514884-1205
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number38391
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: