Most Relevant Information
Provider Data
| NPI Number: | 1003075136 |
| Provider Name: | LAUREN TALANDA-FATH SOUTHERLAND M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 4301099402 |
Most Important Dates
| Enumeration Date: | 06/04/2008 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
410 W 10TH AVE
EMERGENCY DEPARTMENT
COLUMBUS
OH
432101240
Practice Location Phone/Fax
| Phone: | 6142938305 |
| Fax: |
Provider Mailing Location
700 ACKERMAN RD STE 2120
COLUMBUS
OH
432021559
Provider Mailing Phone/Fax
| Phone: | 6142938305 |
| Fax: |