Individual
LAUREN E FULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-3573
(859) 323-0096
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
58181
KY
208100000X
Physical Medicine & Rehabilitation Physician
TP456
KY
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
58181
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
10/25/2023
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