Basic Information
Provider Information
NPI: 1003137787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAY
FirstName: LAUREN
MiddleName: ASHLEY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197320191
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1600 ROCKLAND RD
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026514200
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2010
LastUpdateDate: 07/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X0101250794VAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XBP10041296-559444TXN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
208600000XMT197364PAN Allopathic & Osteopathic PhysiciansSurgery 
2085P0229XC1-0013562DEY Allopathic & Osteopathic PhysiciansRadiologyPediatric Radiology

No ID Information.


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