DR. Lauren Graham Bourell, DDS, MD

NPI #1295908028 in Sylvania, Ohio

Provider Information

NPI Number: 1295908028
Entity Type: Individual
Name: DR. Lauren Graham Bourell, DDS, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DDS, MD
Enumeration Date: Apr 13, 2008
Last Updated: Aug 1, 2019

Practice Location

Address: 5690 MONROE ST
City: Sylvania
State: Ohio
ZIP Code: 43560-2736
Phone: (419) 479-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Oral & Maxillofacial Surgery	204E00000X	Primary

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