Healthcare Provider Details

I. General information

NPI: 1104479575
Provider Name (Legal Business Name): LAUREN ASHLEY LENHOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 636324
CINCINNATI OH
45263-6324
US

IV. Provider business mailing address

PO BOX 636324
CINCINNATI OH
45263-6324
US

V. Phone/Fax

Practice location:
  • Phone: 859-444-0992
  • Fax:
Mailing address:
  • Phone: 859-301-2000
  • Fax: 859-301-6907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3013646
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: