Individual
LAUREN CASTELLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2238
(859) 301-4946
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2238
(859) 301-4946
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01072449A
IN
2085R0001X
Radiation Oncology Physician
35.121157
OH
2085R0001X
Radiation Oncology Physician
Primary
46348
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088707
—
OH
05
—
201155740
—
IN
05
—
7100264040
—
KY
01
—
P01303881
MEDICARE RAILROAD
KY
01
—
P01332414
MEDICARE RAILROAD
OH
Enumeration date
01/15/2009
Last updated
06/04/2021
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