Provider Demographics
NPI:1720442882
Name:MORGAN, LAUREN MCCALMONT (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MCCALMONT
Last Name:MORGAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 GILBERT DR STE 143
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-5000
Mailing Address - Country:US
Mailing Address - Phone:318-200-0020
Mailing Address - Fax:800-783-0490
Practice Address - Street 1:3825 GILBERT DR STE 143
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-5000
Practice Address - Country:US
Practice Address - Phone:318-200-0020
Practice Address - Fax:800-783-0490
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA322618207VG0400X, 207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program