Provider Demographics
| NPI: | 1326640103 |
|---|---|
| Name: | PLAGEMAN, LAUREN R (DNP) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | LAUREN |
| Middle Name: | R |
| Last Name: | PLAGEMAN |
| Suffix: | |
| Gender: | F |
| Credentials: | DNP |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 231 ALBERT SABIN WAY DIVISION OF NEPHROLOGY ML 0585 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CINCINNATI |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 45267-0001 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 513-558-5471 |
| Mailing Address - Fax: | 513-558-4309 |
| Practice Address - Street 1: | 231 ALBERT SABIN WAY DIVISION OF NEPHROLOGY ML 0585 |
| Practice Address - Street 2: | |
| Practice Address - City: | CINCINNATI |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 45267-0001 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 513-558-5471 |
| Practice Address - Fax: | 513-558-4309 |
| Is Sole Proprietor?: | Yes |
| Enumeration Date: | 2020-11-16 |
| Last Update Date: | 2021-07-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | RN.336295 | 163W00000X |
| KY | 1161941 | 163W00000X |
| KY | 3015187 | 363LA2100X |
| OH | APRN.CNP.0027633 | 363LA2100X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
| No | 163W00000X | Nursing Service Providers | Registered Nurse |