Healthcare Provider Details

I. General information

NPI: 1366078834
Provider Name (Legal Business Name): LAUREN READY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 RICHMOND ST
PROVIDENCE RI
02903-4228
US

IV. Provider business mailing address

222 RICHMOND ST
PROVIDENCE RI
02903-4228
US

V. Phone/Fax

Practice location:
  • Phone: 617-513-0233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDR.0077894
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: