Provider Demographics
NPI:1720870439
Name:VULGAMORE LYKINS, LAUREN ROCHELLE
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ROCHELLE
Last Name:VULGAMORE LYKINS
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 1:424 DEAN ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-1203
Mailing Address - Country:US
Mailing Address - Phone:740-418-3781
Mailing Address - Fax:
Practice Address - Street 1:424 DEAN ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1203
Practice Address - Country:US
Practice Address - Phone:740-418-3781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker