Provider Demographics
NPI:1497118624
Name:HUGHES, LAUREN MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MICHELLE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MICHELLE
Other - Last Name:CLEVENGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7373 N SCOTTSDALE RD STE A178
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3550
Mailing Address - Country:US
Mailing Address - Phone:855-776-7266
Mailing Address - Fax:833-449-4003
Practice Address - Street 1:7373 N SCOTTSDALE RD STE A178
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3550
Practice Address - Country:US
Practice Address - Phone:855-776-7266
Practice Address - Fax:833-449-4003
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036147670207R00000X
390200000X
AZ62773207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program