Provider Demographics
NPI:1093993966
Name:PLESSINGER, LAUREN D (NP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:D
Last Name:PLESSINGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 W LANE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3538
Mailing Address - Country:US
Mailing Address - Phone:614-457-4827
Mailing Address - Fax:614-457-9733
Practice Address - Street 1:1315 W LANE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3538
Practice Address - Country:US
Practice Address - Phone:614-457-4827
Practice Address - Fax:614-457-9733
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP08154COA363L00000X
OH08154164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08154OtherLICENSE