Provider Demographics
NPI:1225921919
Name:MARTIN, LAUREN AMBER
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:AMBER
Last Name:MARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 EAST ST APT 103
Mailing Address - Street 2:
Mailing Address - City:LIBERTY CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43532-8306
Mailing Address - Country:US
Mailing Address - Phone:419-906-0448
Mailing Address - Fax:
Practice Address - Street 1:606 EAST ST APT 103
Practice Address - Street 2:
Practice Address - City:LIBERTY CENTER
Practice Address - State:OH
Practice Address - Zip Code:43532-8306
Practice Address - Country:US
Practice Address - Phone:419-906-0448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide