Basic Information
Provider Information
NPI: 1437394665
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOOKABAUGH
FirstName: BRITNI
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5400 FRANTZ RD
Address2: SUITE 250
City: DUBLIN
State: OH
PostalCode: 430164144
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 800 MCCONNELL DR
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432143463
CountryCode: US
TelephoneNumber: 6145665377
FaxNumber: 6145336200
Other Information
ProviderEnumerationDate: 12/02/2008
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X57.015156OHN Allopathic & Osteopathic PhysiciansFamily Medicine 
207QH0002X35096924OHY Allopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine

No ID Information.


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