Individual
LAUREN C DAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 LAWN AVE STE 120, ELKHART, IN 46514-2450
(574) 523-2733
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01077011A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001038995
ANTHEM
IN
01
—
000001038996
ANTHEM
IN
05
—
201376450
—
IN
Enumeration date
08/22/2011
Last updated
07/20/2021
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