{"npi":"1790944239","type":"NPI-1","status":"active","name":{"display":"Dr. Lauren Ibrahim M.D.","other":[{"code":"1","type":"Formerly known as","value":"BERTELLE, LAUREN"}],"first":"LAUREN","last":"IBRAHIM","credential":"M.D."},"specialty":{"primary_taxonomy":"207RI0200X","primary_taxonomy_description":"Infectious Disease","slug":"infectious-disease","schema_org_specialty":"Infectious","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"PA","license":"MD449171"},{"code":"207RI0200X","description":"Infectious Disease","primary":true,"state":"CT","license":"53494"}]},"addresses":[{"purpose":"LOCATION","street_1":"1000 ASYLUM AVE STE 2112","city":"HARTFORD","state":"CT","postal_code":"06105","country_code":"US","street_2":"ST. FRANCIS MEDICAL GROUP, INC","phone":"8607144903"},{"purpose":"MAILING","street_1":"1000 ASYLUM AVE STE 2112","city":"HARTFORD","state":"CT","postal_code":"061051719","country_code":"US","street_2":"SAINT FRANCIS MEDICAL GROUP, INC","phone":"8607145895","fax":"8607145417"}],"license":{"state":"CT","number":"53494"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141022000122","type_code":"14-44","type_desc":"PRACTITIONER - INFECTIOUS DISEASE","state":"CT","pac_id":"7810130630"}]},"enumeration_date":"2008-06-09","last_updated":"2021-06-16","_meta":{"source":"NPPES","snapshot_date":"2021-06-16","doc_url":"https://findmynpi.com/api"}}