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NPI Code Detail

MEDICARE: LAUREN JEANNE PHILLIPS CNP

MEDICARE: LAUREN JEANNE PHILLIPS CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRRNCNP10157OH

General Provider Information

NPI Number : 1598900516
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN JEANNE PHILLIPS CNP
Provider Business Mailing Address
First Line : 2100 W CENTRAL AVE STE 100
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3817
Country : US
Telephone Number : 419-537-5111
Fax Number : 419-537-5131
Provider Business Practice Location Address
First Line : 2100 W CENTRAL AVE STE 100
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3817
Country : US
Telephone Number : 419-537-5111
Fax Number : 419-537-5131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2008
Last Update Date : 11/03/2023

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Directions to “ LAUREN JEANNE PHILLIPS CNP” Practice Location

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