Basic Information
| Provider Information | |||||||||
| NPI: | 1952765547 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARPER | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | SHIAOLING PAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 635283 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452635283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8599053070 | ||||||||
| FaxNumber: | 8594411348 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 GRAND AVE | ||||||||
| Address2: | |||||||||
| City: | NEWPORT | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410712570 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8599053070 | ||||||||
| FaxNumber: | 8594411348 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2016 | ||||||||
| LastUpdateDate: | 03/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | ME140401 | FL | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 62532 | MN | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 56104 | KY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.