Provider Demographics
NPI:1174608186
Name:TRIPLETT-SCHWEICKART, LAUREN (DPM)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:TRIPLETT-SCHWEICKART
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 SAINT CHRISTOPHER DR.
Mailing Address - Street 2:SUITE 355
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7000
Mailing Address - Country:US
Mailing Address - Phone:606-836-3055
Mailing Address - Fax:606-836-0123
Practice Address - Street 1:2201 RAINTREE CT
Practice Address - Street 2:ASHLAND
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-3605
Practice Address - Country:US
Practice Address - Phone:606-922-0803
Practice Address - Fax:740-532-1157
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY196213E00000X
OH2607213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY80001969Medicaid
OH0791808Medicaid
OHTR0672791Medicare PIN
KY2009701Medicare PIN
T88634Medicare UPIN
KY0962930001Medicare NSC
OH0791808Medicaid
KYT88634Medicare UPIN