Healthcare Provider Details

I. General information

NPI: 1598408510
Provider Name (Legal Business Name): LAUREN SCHAEFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN SCHAEFER MD

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11842 ROCK LANDING DR STE 120
NEWPORT NEWS VA
23606-4437
US

IV. Provider business mailing address

11842 ROCK LANDING DR
NEWPORT NEWS VA
23606-4437
US

V. Phone/Fax

Practice location:
  • Phone: 757-622-6315
  • Fax: 757-917-5581
Mailing address:
  • Phone: 757-622-6315
  • Fax: 757-917-5581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number74901
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: