Healthcare Provider Details

I. General information

NPI: 1295411312
Provider Name (Legal Business Name): LAUREN GERMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 OLENTANGY RIVER RD STE 100
COLUMBUS OH
43235-1353
US

IV. Provider business mailing address

7419 WELLINGTON RESERVE CT
DUBLIN OH
43017-1281
US

V. Phone/Fax

Practice location:
  • Phone: 614-841-3900
  • Fax:
Mailing address:
  • Phone: 614-551-1421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT020564
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: