Healthcare Provider Details

I. General information

NPI: 1124879465
Provider Name (Legal Business Name): LAUREN CHRISTINE HALEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

231 ALBERT SABIN WAY
CINCINNATI OH
45267-0558
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-4206
  • Fax: 513-558-3474
Mailing address:
  • Phone: 513-558-4206
  • Fax: 513-558-3474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.156630
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: