Whalio Doctors

NPI 1295908028

Lauren Graham Bourell, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Sylvania, OH

Practice location

Address
5690 Monroe St, Sylvania, OH 43560-2736
Phone
(419) 479-3939

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 30.024410 (OH)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 30.024410 (OH)

Registry record

NPI
1295908028
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Apr 2008
Record last updated
1 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.