Licata, Lauren Audrey

Licata, Lauren Audrey is an individual health care provider with primary practice located at 410 W 10Th Ave , Columbus OH 43210-1240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Licata, Lauren Audrey can be contacted via phone (614) 293-2101.

Contact Information

Primary practice address
410 W 10Th Ave Columbus OH 43210-1240
Phone: (614) 293-2101
Fax: (614) 293-9155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35123573 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 255MA08698600 New Jersey

Profile Details

NPI number 1023337763
LBN Legal business name Licata, Lauren Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2010
Last updated Sep 2nd, 2014 - about 10 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 1023337763 NPPES
Ohio MEDICAID 0105408

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