Provider Demographics
NPI:1942777313
Name:GILBERT, LAUREN BELL
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:BELL
Last Name:GILBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 CRAMER AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-1415
Mailing Address - Country:US
Mailing Address - Phone:859-308-3676
Mailing Address - Fax:
Practice Address - Street 1:165 WALTON AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-1898
Practice Address - Country:US
Practice Address - Phone:859-308-3676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-24
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012703363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK271800Medicaid
KY7100587170Medicaid
KYK271801Medicaid
KY7100709140Medicaid