Healthcare Provider Details

I. General information

NPI: 1871486449
Provider Name (Legal Business Name): LULU'S MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 MAIN ST
HURON OH
44839-1651
US

IV. Provider business mailing address

410 MAIN ST
HURON OH
44839-1651
US

V. Phone/Fax

Practice location:
  • Phone: 419-357-7138
  • Fax:
Mailing address:
  • Phone: 419-357-8273
  • Fax: 419-504-6441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAUREN NICOLE BINKS
Title or Position: OWNER
Credential: FNP-C
Phone: 419-357-7138