LAUREN MARIE FULLER D.O. NPI 1790050011

NPI Information

NPI: 1790050011
Provider Name: LAUREN MARIE FULLER, D.O.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

Organization: OHIOHEALTH CORPORATION

PECOS Registration: Yes

Address:
210 SHARON RD STE C
CIRCLEVILLE, OH
ZIP 43113
Phone: (740) 474-5024
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Lauren Marie Fuller, D.O. is an obstetrics obstetrics gynecology in Circleville, OH with 12 years of experience. Lauren Marie Fuller, D.O. NPI is 1790050011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2012

The provider's business location address is:

210 SHARON RD STE C
CIRCLEVILLE, OH
ZIP 43113-498
Phone: (740) 474-5024
Fax: (740) 477-2558

The NPI 1790050011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2012 and was last updated on 1/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	34.012294	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0175833	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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