National Provider Identifier
Lauren Ashley Derhodge, D.O.
Lauren Ashley Derhodge, D.O. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 551-7894.
Profile Overview
- NPI
- 1336406248
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- April 16, 2012
- Last Updated
- October 21, 2019
Practice Location
- 254 Franklin St
- Buffalo, NY 14202-1932
Phone: (716) 551-7894
Mailing Address
- 462 Grider St Dept Of
- Buffalo, NY 14215-3021
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1336406248
- Entity Type
- Individual
- Last Name
- Derhodge
- First Name
- Lauren
- Middle Name
- Ashley
- Credential
- D.O.
- Mailing Street Address
- 462 Grider St Dept Of
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-4968
- Mailing Fax
- (716) 898-4447
- Practice Street Address
- 254 Franklin St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1932
- Practice Country
- US
- Practice Phone
- (716) 551-7894
- Practice Fax
- (168) 409-5937
- Enumeration Date
- April 16, 2012
- Last Updated
- October 21, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)