Lauren Michelle Bandwen, PAC
Physician Assistant in Berea, OH. Individual provider (NPI-1).
NPI number1487539201
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1487539201
- Entity type
- Individual (NPI-1)
- Name
- Lauren Michelle Bandwen
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2025
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50.009575RX | OH | Yes |
| 363A00000X | Physician Assistant | 1236985 | OH |
Practice location
275 Eastland RdBerea, OH 44017-2005
Phone 330-546-4912
Mailing address
700 Ackerman Rd Ste 2120Suite 2120
Columbus, OH 43202-1559
Phone 614-366-6886 · Fax 614-685-2495
Other practice locations
1075 Beecher Xing N Ste A
Gahanna, OH 43230-4572
Gahanna, OH 43230-4572
Phone 614-366-6886 · Fax 614-685-2495
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