Healthcare Provider Details

I. General information

NPI: 1396384434
Provider Name (Legal Business Name): LAUREN BATES THOMAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 PERIMETER DR STE 200
DUBLIN OH
43017
US

IV. Provider business mailing address

5775 PERIMETER DR STE 200
DUBLIN OH
43017
US

V. Phone/Fax

Practice location:
  • Phone: 614-845-0418
  • Fax: 614-389-3841
Mailing address:
  • Phone: 614-845-0418
  • Fax: 614-389-3841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.006307RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: