Provider Demographics
NPI: | 1326640103 |
---|---|
Name: | PLAGEMAN, LAUREN R (DNP) |
Entity type: | Individual |
Prefix: | DR |
First Name: | LAUREN |
Middle Name: | R |
Last Name: | PLAGEMAN |
Suffix: | |
Gender: | F |
Credentials: | DNP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 231 ALBERT SABIN WAY DIVISION OF NEPHROLOGY ML 0585 |
Mailing Address - Street 2: | |
Mailing Address - City: | CINCINNATI |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45267-0001 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 513-558-5471 |
Mailing Address - Fax: | 513-558-4309 |
Practice Address - Street 1: | 231 ALBERT SABIN WAY DIVISION OF NEPHROLOGY ML 0585 |
Practice Address - Street 2: | |
Practice Address - City: | CINCINNATI |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45267-0001 |
Practice Address - Country: | US |
Practice Address - Phone: | 513-558-5471 |
Practice Address - Fax: | 513-558-4309 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2020-11-16 |
Last Update Date: | 2021-07-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | RN.336295 | 163W00000X |
KY | 1161941 | 163W00000X |
KY | 3015187 | 363LA2100X |
OH | APRN.CNP.0027633 | 363LA2100X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No | 163W00000X | Nursing Service Providers | Registered Nurse |