Provider Demographics
NPI:1497318166
Name:QUAN, LAUREN GRACE (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:GRACE
Last Name:QUAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1098 FOSTER CITY BLVD STE A104
Practice Address - Street 2:
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-2300
Practice Address - Country:US
Practice Address - Phone:650-414-6872
Practice Address - Fax:650-414-6873
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2025-09-02
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Provider Licenses
StateLicense IDTaxonomies
CA178005207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine