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General NPI Number Information
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NPI Number | 1245762814
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Entity Type | Individual
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Provider Name | LAUREN PROTZER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2017
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 8620 BIGGIN HILL LN
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City | LOUISVILLE
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State | KY
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Zip | 40220-4117
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Country | US
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Telephone | 502-364-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 5629 JUNIPER BEACH RD
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City | PROSPECT
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State | KY
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Zip | 40059-9684
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Country | US
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Telephone | 937-260-2515
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Fax | 859-817-7848
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01090592A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 58135
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License Number State | KY
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