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

Lanre B. Fasoro, APRNCNP

Individual provider Family Nurse Practitioner · NPI 1760621353

Lanre B. Fasoro, APRNCNP is a Family Nurse Practitioner in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2009.

Licensed in
OH
In the registry since
2009
Specialties on file
2

Practice location Address checks out

410 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-8000
Fax: (614) 293-3124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.10450 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.10450 (OH)

Record details

NPI number1760621353
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedFebruary 5, 2009
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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