Lauren Fuller

NPI #1144119157 in Surprise, Arizona

Provider Information

NPI Number: 1144119157
Entity Type: Individual
Name: Lauren Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 2, 2025
Last Updated: Jul 2, 2025

Practice Location

Address: 14725 W MOUNTAIN VIEW BLVD
City: Surprise
State: Arizona
ZIP Code: 85374-2704
Phone: (623) 243-9077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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