Individual
LAUREN FUKUMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-6000
Mailing address
2565 SATYR HL, COLUMBUS, OH 43219-6108
(310) 918-8082
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18538-NP
OH
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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