Individual
LAUREN LEA WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E MAIN ST, BARNESVILLE, OH 43713-1005
(740) 239-6447
Mailing address
37984 AIRPORT RD., BOX 658, WOODSFIELD, OH 43793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.126927
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122104
—
OH
Enumeration date
05/14/2013
Last updated
09/03/2021
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