Individual
DR. LAUREN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6424 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6204
(260) 436-2020
Mailing address
1531 JACOBS DR, FORT WAYNE, IN 46814-8741
(260) 579-3408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004578A
IN
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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