Individual
MRS. LAUREN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Mailing address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
011029
AZ
207RP1001X
Pulmonary Disease Physician
011029
AZ
Other
Enumeration date
04/03/2018
Last updated
08/28/2024
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