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NPI Code Detail

MEDICARE: LAUREN ABIGAIL GILLINGHAM CRNA

MEDICARE: LAUREN ABIGAIL GILLINGHAM CRNA
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
1163W00000XRegistered NurseRN.472563OH

General Provider Information

NPI Number : 1710840640
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ABIGAIL GILLINGHAM CRNA
Provider Business Mailing Address
First Line : PO BOX 933432
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-5072
Fax Number : 937-641-6129
Provider Business Practice Location Address
First Line : 1 CHILDRENS PLZ
Second Line :
City : DAYTON
State : OH
Zip : 45404-1815
Country : US
Telephone Number : 937-641-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ LAUREN ABIGAIL GILLINGHAM CRNA” Practice Location

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