Basic Information
| Provider Information | |||||||||
| NPI: | 1609593888 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DADAS | ||||||||
| FirstName: | LAUREN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5927 CAPE HATTERAS DR | ||||||||
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| City: | VERMILION | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440893820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4403966884 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3600 KOLBE RD STE 11 | ||||||||
| Address2: | |||||||||
| City: | LORAIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440531652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402224003 | ||||||||
| FaxNumber: | 4409604922 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2022 | ||||||||
| LastUpdateDate: | 10/27/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | APRN.CNP.0031894 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.