Provider Demographics
NPI:1114454303
Name:MCCLAIN, LAUREN KELSEY-TSEN (CNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:KELSEY-TSEN
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:KELSEY
Other - Last Name:TSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5150 E DUBLIN GRANVILLE RD STE 210
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8701
Practice Address - Country:US
Practice Address - Phone:614-788-9370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRNCNP020892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily