Brister, Lauren Ebling

Brister, Lauren Ebling is an individual health care provider with primary practice located at 11100 Euclid Ave Wearn 549, Cleveland Heights OH 44106-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brister, Lauren Ebling can be contacted via phone (216) 844-5493.

Contact Information

Primary practice address
11100 Euclid Ave Wearn 549 Cleveland Heights OH 44106-1716
Phone: (216) 844-5493
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A0208262 Ohio

Profile Details

NPI number 1871766311
LBN Legal business name Brister, Lauren Ebling
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated May 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871766311 NPPES
Ohio MEDICAID 0056209

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