Individual
LAUREN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DIVISION OF CL PSYCHIATRY VCU HEALTH 1200 E BROAD STREE, WII E, RICHMOND, VA 23219-1359
(804) 828-9452
Mailing address
P.O. BOX 980268, RICHMOND, VA 23298
(804) 828-0762
(804) 828-7675
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
0101268917
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2015
Last updated
11/26/2021
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