Organization · Type 2 NPI
Lauren Berendt Lac
Clinic/Center · Kent, OH
NPI number
1811447600
Active
Practice location
7379 Myrna Blvd
Kent, OH 44240-6317
Mailing address
1951 State Route 59 Ste D
Kent, OH 44240-8128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 65.000274 (OH) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1811447600
Lauren Berendt Lac's National Provider Identifier is 1811447600, issued on Oct 5, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kent, OH. The record was last updated on Oct 5, 2016.