Provider Demographics
NPI:1144075813
Name:SCHMITT, LAUREN ELISABETH (OD (GRAD JUN 1, 2024)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELISABETH
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:OD (GRAD JUN 1, 2024
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 FAIRLANE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:KY
Mailing Address - Zip Code:41006-8677
Mailing Address - Country:US
Mailing Address - Phone:859-486-3775
Mailing Address - Fax:
Practice Address - Street 1:2819 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-2401
Practice Address - Country:US
Practice Address - Phone:859-331-3124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program