Individual
DR. LAUREN W. AVERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
C10008484
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142212
—
NJ
05
—
102070061
—
PA
05
—
4133366
—
MD
Enumeration date
01/23/2007
Last updated
02/04/2013
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