Lauren Fuller

NPI #1205644085 in Whitley City, Kentucky

Provider Information

NPI Number: 1205644085
Entity Type: Individual
Name: Lauren Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 24, 2024
Last Updated: Jan 9, 2026

Practice Location

Address: 1900 N HIGHWAY 27
City: Whitley City
State: Kentucky
ZIP Code: 42653-4112
Phone: (606) 376-5391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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