Provider Demographics
NPI:1992062582
Name:JEFFRIES, LAUREN ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:LCI 305
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520
Mailing Address - Country:US
Mailing Address - Phone:203-785-4651
Mailing Address - Fax:203-785-2510
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:WWW 313A
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-785-2660
Practice Address - Fax:203-785-3404
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2018-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT55655208000000X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No208000000XAllopathic & Osteopathic PhysiciansPediatrics