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NPI Code Detail

MEDICARE: DR. LAUREN KRUG GUREN MD

MEDICARE:  DR. LAUREN KRUG GUREN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician35.125083OH

General Provider Information

NPI Number : 1710276563
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN KRUG GUREN MD
Provider Business Mailing Address
First Line : 3624 W MARKET ST STE 101
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-4510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5915 LANDERBROOK DR
Second Line :
City : MAYFIELD HTS
State : OH
Zip : 44124-4039
Country : US
Telephone Number : 216-382-3806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2011
Last Update Date : 11/27/2023

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Directions to “ DR. LAUREN KRUG GUREN MD” Practice Location

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