Fullerton, Lauren
Fullerton, Lauren is an individual health care provider with primary practice located at 1821 University Ave W., Suite N385 , St. Paul MN 55104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fullerton, Lauren can be contacted via phone (612) 454-2478.Contact Information
Primary practice address
1821 University Ave W., Suite N385
St. Paul MN 55104
Phone: (612) 454-2478
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 304871 | Minnesota |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3696 | Minnesota |
Profile Details
NPI number | 1134621600 |
---|---|
LBN Legal business name | Fullerton, Lauren |
Credentials | M.A., LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2018 |
Last updated | May 5th, 2023 - about last year |
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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