Healthcare Provider Details
I. General information
NPI: 1720341829
Provider Name (Legal Business Name): LAUREN KUHLMAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/22/2012
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28442 E RIVER RD STE 110
PERRYSBURG OH
43551-2795
US
IV. Provider business mailing address
28442 E RIVER RD
PERRYSBURG OH
43551-2795
US
V. Phone/Fax
- Phone: 419-872-3201
- Fax:
- Phone: 419-872-3201
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 5101019821 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 34012355 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: