Provider Demographics
NPI:1124474275
Name:DOLL, LAUREN E (FNP)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:E
Last Name:DOLL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:STECKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 IVY GTWY STE 2100
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-2052
Mailing Address - Country:US
Mailing Address - Phone:513-752-8000
Mailing Address - Fax:
Practice Address - Street 1:601 IVY GTWY STE 2100
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2052
Practice Address - Country:US
Practice Address - Phone:513-752-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-08
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011230363LF0000X
OHAPRN.CNP.020676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ062095Medicaid
IN300036276Medicaid
OH0215131Medicaid