Individual
LAUREN DENISE PHYLOW HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 816-0600
(252) 816-0721
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2022-01791
NC
208600000X
Surgery Physician
DO-04656
IA
208600000X
Surgery Physician
R-9282
IA
2086S0102X
Surgical Critical Care Physician
DO-04656
IA
2086S0127X
Trauma Surgery Physician
DO-04656
IA
Other
Enumeration date
06/27/2011
Last updated
11/26/2025
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