Provider Demographics
NPI:1437414398
Name:CUROSH, LAUREN JO (OD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JO
Last Name:CUROSH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1538 119TH ST
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:IN
Mailing Address - Zip Code:46394-1733
Mailing Address - Country:US
Mailing Address - Phone:219-659-0805
Mailing Address - Fax:219-659-0830
Practice Address - Street 1:1538 119TH ST
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:IN
Practice Address - Zip Code:46394-1733
Practice Address - Country:US
Practice Address - Phone:219-659-0805
Practice Address - Fax:219-659-0830
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010625152W00000X
IN18003735A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL211019OtherMEDICARE LAKE/DUPAGE COUNTY
IL8825444OtherMULTIPLAN
IL7235044OtherAETNA
1636706OtherBCBS
IL210209OtherMEDICARE COOK COUNTY