Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 0028363 | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.0028363 | OH |
N | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.0028363 | OH |
NPI | 1083206551 |
---|---|
Provider Name | Lauren Mayfield Pica |
First Address | Dublin, OH 43016-1279 |
Second Address | Dublin, OH 43016-1279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2021 |
Last Update Date | 03/03/2021 |