Healthcare Provider Details

I. General information

NPI: 1730708587
Provider Name (Legal Business Name): LAUREN PAGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 MARKET ST FL 3
PHILADELPHIA PA
19104-5505
US

IV. Provider business mailing address

3701 MARKET ST FL 3
PHILADELPHIA PA
19104-5505
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-6035
  • Fax: 215-349-5228
Mailing address:
  • Phone: 215-662-6035
  • Fax: 215-349-5228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD488448
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: