Lauren Gwen Fuller, LPN is a
Licensed Practical Nurse based in Moab, Utah. Lauren Gwen Fuller is licensed to practice in Utah (license number 9826037-3101) and her current practice location is
198 East Center Street, Moab, Utah. She can be reached at her office (for appointments etc.) via phone at
(435) 259-6131.
NPI number for Lauren Gwen Fuller is 1134668213 and her current mailing address is Po Box 867, Price, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134668213.
Provider's Profile
| Full Name | Lauren Gwen Fuller |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 198 East Center Street, Moab, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134668213
- Provider Enumeration Date: 02/22/2017
- Last Update Date: 02/22/2017
Medical Identifiers
Medical identifiers for Lauren Gwen Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134668213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 9826037-3101 (Utah) | 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 Gwen 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 Gwen Fuller, LPN
Po Box 867,
Price, UT 84501-0867
Ph: (435) 637-7200 | Lauren Gwen Fuller, LPN
198 East Center Street,
Moab, UT 84532
Ph: (435) 259-6131 |
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