Individual
DR. LAUREN NICOLE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3800 EMBASSY PKWY, FAIRLAWN, OH 44333-8387
(330) 666-4158
(330) 668-2256
Mailing address
24701 EUCLID AVE, THIRD FLOOR BILLING SERVICES, EUCLID, OH 44117-1714
(330) 666-4158
(330) 666-2256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-009826
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159291
—
OH
Enumeration date
09/24/2008
Last updated
12/14/2020
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