Provider Demographics
NPI:1356577829
Name:ANDREAS, LAUREN ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:ANDREAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 EUCLID AVE
Mailing Address - Street 2:MC 0242
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64124
Mailing Address - Country:US
Mailing Address - Phone:816-889-4713
Mailing Address - Fax:816-889-4859
Practice Address - Street 1:825 EUCLID AVE
Practice Address - Street 2:MC 0242
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64124
Practice Address - Country:US
Practice Address - Phone:303-602-8241
Practice Address - Fax:303-602-8247
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO150565122300000X
MO2011002006122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist