Healthcare Provider Details

I. General information

NPI: 1205192804
Provider Name (Legal Business Name): LAUREN ADAIR JUNEJA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8585 PICARDY AVE STE 110
BATON ROUGE LA
70809-3748
US

IV. Provider business mailing address

PO BOX 117287
ATLANTA GA
30368-7287
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-0822
  • Fax: 225-769-5424
Mailing address:
  • Phone: 855-963-2100
  • Fax: 813-321-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD.207928
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD.207928
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: