Lauren Fuller, is a
Student In An Organized Health Care Education/training Program based in Surprise, Arizona. Lauren Fuller is licensed to practice in * (Not Available) (license number ) and her current practice location is
14725 W Mountain View Blvd, Surprise, Arizona. She can be reached at her office (for appointments etc.) via phone at
(623) 243-9077.
NPI number for Lauren Fuller is 1144119157 and her current mailing address is 3010 W 7th St Apt 302, Little Rock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144119157.
Provider's Profile
| Full Name | Lauren Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 14725 W Mountain View Blvd, Surprise, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144119157
- Provider Enumeration Date: 07/02/2025
- Last Update Date: 07/02/2025
Medical Identifiers
Medical identifiers for Lauren Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144119157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauren Fuller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lauren Fuller,
3010 W 7th St Apt 302,
Little Rock, AR 72205-6031
Ph: (501) 766-1355 | Lauren Fuller,
14725 W Mountain View Blvd,
Surprise, AZ 85374-2704
Ph: (623) 243-9077 |
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