Provider Demographics
NPI:1528065687
Name:FREIDUS KATZ, LAUREN SUE (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:SUE
Last Name:FREIDUS KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:241 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1019
Mailing Address - Country:US
Mailing Address - Phone:610-544-8119
Mailing Address - Fax:610-544-8119
Practice Address - Street 1:110 PARK AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1736
Practice Address - Country:US
Practice Address - Phone:610-544-8119
Practice Address - Fax:610-544-8119
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-030108-E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA477007Medicare ID - Type Unspecified