Healthcare Provider Details

I. General information

NPI: 1124965009
Provider Name (Legal Business Name): LAUREN ZAWODNY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 SUTTER PKWY
DUBLIN OH
43016-8936
US

IV. Provider business mailing address

2400 SUTTER PKWY
DUBLIN OH
43016-8936
US

V. Phone/Fax

Practice location:
  • Phone: 614-760-4788
  • Fax:
Mailing address:
  • Phone: 614-760-4788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00230
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: