Individual
LAUREN A PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11258 LEBANON RD, CINCINNATI, OH 45241-2214
(513) 563-0044
(513) 563-0061
Mailing address
4370 WOODLANDS PL, CINCINNATI, OH 45241-2441
(513) 563-0044
(513) 563-0061
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-06-4930
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919537
—
OH
Enumeration date
09/13/2005
Last updated
03/26/2015
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