Provider Demographics
NPI:1538718796
Name:DOWNEY, LAUREN R (LDO)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:R
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 COMMERCE WAY
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:774-773-3178
Mailing Address - Fax:508-680-8664
Practice Address - Street 1:55 COMMERCE WAY
Practice Address - Street 2:SUITE 1A
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:774-773-3178
Practice Address - Fax:774-773-9264
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6650156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician