Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lauren Russell Prostrollo, DO

Individual provider Family Medicine Physician · NPI 1619546454

Dr. Lauren Russell Prostrollo, DO is a Family Practice in Jacksonville, Florida. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2021, 5 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Philadelphia Col of Osteo Med, Sewanee
Licensed in
FL
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4844 Deer Lake Dr W Ste 1
Jacksonville, FL 32246-4506
Phone: (904) 738-8690
Fax: (904) 390-7426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS20431 (FL)

Record details

NPI number1619546454
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 24, 2021
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2021 (5 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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