Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lauren Jutras, MD

Individual provider Surgery Physician · NPI 1457911885

Lauren Jutras, MD is a Diagnostic Radiology in Norfolk, Virginia. Graduated from Medical University of South Carolina College of Medicine in 2019, 7 years ago. Practices with Pelican II LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Virginia.

Years since qualifying
7
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC, VA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

825 Fairfax Ave
Norfolk, VA 23507-1914
Phone: (757) 446-6190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 169 Ashley Ave, Charleston, SC 29425 — (843) 792-4638

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0116034532 (VA)
Surgery Physician Taxonomy 208600000X · Licence LL82787 (SC)

Record details

NPI number1457911885
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Pelican Ii Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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