Provider Demographics
NPI:1326831348
Name:COOPER, LAUREN ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:COOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8538 VILLA LA JOLLA DR
Mailing Address - Street 2:APT 185
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2322
Mailing Address - Country:US
Mailing Address - Phone:916-712-9192
Mailing Address - Fax:
Practice Address - Street 1:8538 VILLA LA JOLLA DR
Practice Address - Street 2:APT 185
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-2322
Practice Address - Country:US
Practice Address - Phone:916-712-9192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical