Provider Demographics
NPI:1306235171
Name:FELIPE, LAUREN H (OD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:H
Last Name:FELIPE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 REDONDO BEACH BLVD STE C485
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1683
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:310-347-4252
Practice Address - Street 1:14709 PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1831
Practice Address - Country:US
Practice Address - Phone:310-679-1158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-16
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT15156TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist