Individual
LAUREN CANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 ALCORN DR STE 1B, CORINTH, MS 38834-9071
(651) 788-6537
Mailing address
401 ALCORN DR STE 1B, CORINTH, MS 38834-9071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33580
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
726106
PIT
TX
Enumeration date
03/26/2021
Last updated
07/25/2024
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