Provider Demographics
NPI:1053844597
Name:HAVARD, LAUREN LEHNE (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:LEHNE
Last Name:HAVARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16841 N 31ST AVE BLDG 3
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-3012
Mailing Address - Country:US
Mailing Address - Phone:602-491-0703
Mailing Address - Fax:833-365-2143
Practice Address - Street 1:16841 N 31ST AVE BLDG 3
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-3012
Practice Address - Country:US
Practice Address - Phone:602-491-0703
Practice Address - Fax:833-365-2143
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ61457207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine