MEDICARE: DR. LAUREN DENISE BARTHOLOMEW 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
1	207Q00000X	Family Medicine Physician	308401	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992124382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN DENISE BARTHOLOMEW MD

Provider Business Mailing Address
First Line	:	1936 MAGAZINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70130-5016
Country	:	US
Telephone Number	:	504-529-5558
Fax Number	:	504-529-8840

Provider Business Practice Location Address
First Line	:	1057 PAUL MAILLARD RD
Second Line	:
City	:	LULING
State	:	LA
Zip	:	70070-4349
Country	:	US
Telephone Number	:	985-764-6036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2014
Last Update Date	:	05/19/2026

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