Basic Information
| Provider Information | |||||||||
| NPI: | 1629265855 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORLAN | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | RENAE | ||||||||
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| Credential: | CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 525 E MARKET ST | ||||||||
| Address2: | PO BOX 2090 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443041619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309960347 | ||||||||
| FaxNumber: | 3309960359 | ||||||||
| Practice Location | |||||||||
| Address1: | 2875 W MARKET ST | ||||||||
| Address2: | |||||||||
| City: | FAIRLAWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443334064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308641916 | ||||||||
| FaxNumber: | 3308641924 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2007 | ||||||||
| LastUpdateDate: | 03/07/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 09631NP | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 2796032 | 05 | OH | MEDICAID | NP-09631 | 01 | OH | OHIO BOARD OF NURSING | OTHER | RN. 311682 | 01 | OH | OHIO BOARD OF NURSING | OTHER | RX. 09631 | 01 | OH | OHIO BOARD OF NURSING | OTHER |