Healthcare Provider Details

I. General information

NPI: 1912101882
Provider Name (Legal Business Name): LAUREN C BAR-LEV M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6255A EMERALD PKWY
DUBLIN OH
43016-3300
US

IV. Provider business mailing address

6255A EMERALD PKWY
DUBLIN OH
43016-3300
US

V. Phone/Fax

Practice location:
  • Phone: 614-766-3344
  • Fax: 614-766-3330
Mailing address:
  • Phone: 614-766-3344
  • Fax: 614-766-3330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.093567
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: