Individual
LAUREN NICOLE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HYGEIA DRIVE, SUITE 2100, NEWARK, DE 19713
(302) 388-8517
Mailing address
200 HYGEIA DRIVE, SUITE 2300, NEWARK, DE 19713
(302) 388-8517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0010928
DE
208M00000X
Hospitalist Physician
C1-0010928
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2011
Last updated
12/12/2018
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