Individual
LAUREN PRUSINSKI FERNUNG
Active
Individual
LAUREN PRUSINSKI FERNUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01095580A
IN
207N00000X
Dermatology Physician
1689299935
GA
207N00000X
Dermatology Physician
59727
KY
207R00000X
Internal Medicine Physician
11957
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300105307
—
IN
05
—
7101010870
—
KY
Enumeration date
06/12/2020
Last updated
03/20/2026
Update your record
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