Individual
LAUREN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 N HIGHWAY 27, WHITLEY CITY, KY 42653-4112
(606) 376-5391
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3747
KY
Other
Enumeration date
12/24/2024
Last updated
01/09/2026
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