Individual provider · Type 1 NPI

Lauren Fuller

Student in an Organized Health Care Education/Training Program · Surprise, AZ

NPI number 1144119157 Active

Practice location

14725 W Mountain View Blvd
Surprise, AZ 85374-2704

Call (623) 243-9077 Map

Mailing address

3010 W 7th St Apt 302
Little Rock, AR 72205-6031

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144119157

Lauren Fuller's National Provider Identifier is 1144119157, issued on Jul 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Surprise, AZ. The record was last updated on Jul 2, 2025.