Provider Demographics
NPI:1538396825
Name:HUDDLE, LAUREN N (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:N
Last Name:HUDDLE
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 1:400 E JACKSON ST
Mailing Address - Street 2:OFFICE OF THE CHIEF MEDICAL EXAMINER
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1438
Mailing Address - Country:US
Mailing Address - Phone:804-786-3174
Mailing Address - Fax:
Practice Address - Street 1:400 E JACKSON ST
Practice Address - Street 2:OFFICE OF THE CHIEF MEDICAL EXAMINER
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1438
Practice Address - Country:US
Practice Address - Phone:804-786-3174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248185207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology