Healthcare Provider Details

I. General information

NPI: 1689166654
Provider Name (Legal Business Name): LAUREN ROVER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2018
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6040 UNIVERSITY TOWN CENTRE DR PEDIATRICS SUITE
MORGANTOWN WV
26501
US

IV. Provider business mailing address

420 KINGS POINT LN
MORGANTOWN WV
26508-7010
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4835
  • Fax: 304-285-7388
Mailing address:
  • Phone: 301-788-3272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number30800
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: