Active NPIIndividual provider

Dr. Lauren E Provini, MD

Dermatology, Pediatric Dermatology in Madison, Connecticut

NPI Number1851829972
Practice location
11 Woodland RD Ste 1, Madison, CT 06443-2380
Fax
203-868-0882
Last updated
August 6, 2026

Lauren Elaine Provini is a Dermatology, Pediatric Dermatology based in Madison, CT. Lauren Elaine Provini practices in Madison, CT and has the professional credentials of MD. The NPI Number for Lauren Elaine Provini is 1851829972 and holds a License No. 70873 (CT). The current practice location address for Lauren Elaine Provini is 11 Woodland RD Ste 1, Madison, CT 06443-2380 and can be reached out via phone at 203-421-2055 and via fax at 203-868-0882.

Provider Profile Details

NPI Number
1851829972
Provider Name
Lauren Elaine Provini
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11 Woodland RD Ste 1, Madison, CT 06443-2380
Phone Number
203-421-2055
Fax Number
203-868-0882
Primary Taxonomy
Dermatology, Pediatric Dermatology · 207NP0225X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2017
Last Update Date
August 6, 2026
Certification Date
August 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Woodland RD Ste 1
Madison, CT 06443-2380
Zip
06443-2380
Phone Number
203-421-2055
Fax Number
203-868-0882
Madison, CT 06443Get directions →

Provider Business Mailing Address Details

Address
11 Woodland RD Ste 1
Madison, CT 06443-2380
City
Madison
State
CT
Zip
06443-2380
Phone Number
203-421-2055
Fax Number
203-868-0882

License Information

License Number
70873
License State
CT
Taxonomy
Dermatology, Pediatric Dermatology · 207NP0225X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Lauren E Provini, MD?

The NPI number of Dr. Lauren E Provini, MD is 1851829972. It was assigned on June 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Lauren E Provini, MD?

Dr. Lauren E Provini, MD is registered under the primary taxonomy Dermatology, Pediatric Dermatology (code 207NP0225X), licensed in CT under license number 70873.

Where does Dr. Lauren E Provini, MD practice?

The practice location is 11 Woodland RD Ste 1, Madison, CT 06443-2380. The office can be reached at 203-421-2055 (phone) or 203-868-0882 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851829972 directly on the NPPES registry website.

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