Provider Demographics
NPI:1770016560
Name:GIGLIOTTI, LAUREN (DO)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GIGLIOTTI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 PATRIOT DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-8948
Mailing Address - Country:US
Mailing Address - Phone:440-647-2225
Mailing Address - Fax:440-647-5110
Practice Address - Street 1:840 PATRIOT DR
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-8948
Practice Address - Country:US
Practice Address - Phone:440-647-2225
Practice Address - Fax:440-647-5110
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-07
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17267207R00000X
OH34016997207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine