Healthcare Provider Details

I. General information

NPI: 1073926721
Provider Name (Legal Business Name): LAUREN M DAVIS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 N CLOVERLEAF DRIVE, SUITE B
ST. PETERS MO
63376-6436
US

IV. Provider business mailing address

4200 N CLOVERLEAF DR STE B
SAINT PETERS MO
63376-6436
US

V. Phone/Fax

Practice location:
  • Phone: 636-441-7470
  • Fax: 636-441-4270
Mailing address:
  • Phone: 636-441-7470
  • Fax: 636-441-4270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2015010533
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: