Healthcare Provider Details

I. General information

NPI: 1215737853
Provider Name (Legal Business Name): LAUREN CHRISTINE VOGELGESANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN PATNEAU

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 10TH AVE
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

3139 CHAMPIONS WAY
MEDINA OH
44256-6947
US

V. Phone/Fax

Practice location:
  • Phone: 800-293-5066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1034
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN.477226
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: