Provider Demographics
NPI:1104089655
Name:CADISH, LAUREN ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ANNE
Last Name:CADISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:2001 SANTA MONICA BLVD STE 680W
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2111
Mailing Address - Country:US
Mailing Address - Phone:310-829-8272
Mailing Address - Fax:310-315-6157
Practice Address - Street 1:2001 SANTA MONICA BLVD STE 680W
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2111
Practice Address - Country:US
Practice Address - Phone:310-829-8272
Practice Address - Fax:310-315-6157
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA236138207V00000X
CAA114916207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology