Basic Information
Provider Information
NPI: 1649491622
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWAGER
FirstName: LAUREN
MiddleName: WHITNEY MORGAN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 930 CHESTNUT RIDGE ROAD
Address2: WVU SCHOOL OF MEDICINE, BEHAVIORAL MED. & PSYCHIATRY
City: MORGANTOWN
State: WV
PostalCode: 265052854
CountryCode: US
TelephoneNumber: 3042935323
FaxNumber: 3042938724
Practice Location
Address1: 930 CHESTNUT RIDGE ROAD
Address2: WVU SCHOOL OF MEDICINE, BEHAVIORAL MED. & PSYCHIATRY
City: MORGANTOWN
State: WV
PostalCode: 265052854
CountryCode: US
TelephoneNumber: 3042935323
FaxNumber: 3042938724
Other Information
ProviderEnumerationDate: 05/01/2007
LastUpdateDate: 04/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804X2007-00111NCY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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