Healthcare Provider Details

I. General information

NPI: 1851992598
Provider Name (Legal Business Name): LAUREN FAITH BURGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2020
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 STAUNTON COMMONS DR APT E3
TROY OH
45373-2174
US

IV. Provider business mailing address

580 STAUNTON COMMONS DR APT E3
TROY OH
45373-2174
US

V. Phone/Fax

Practice location:
  • Phone: 937-214-4611
  • Fax:
Mailing address:
  • Phone: 937-214-4611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number5505140
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: