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

Lauren Fuller

Individual provider Physician Assistant · NPI 1144119157

Lauren Fuller is a Physician Assistant in Surprise, Arizona. Qualified in 2021, 5 years ago. Practices with Regency Skin Institute PLLC, a 14-clinician group.

Years since qualifying
5
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

14725 W Mountain View Blvd
Surprise, AZ 85374-2704
Phone: (623) 243-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1144119157
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address3010 W 7th St Apt 302, Little Rock, AR 72205-6031

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Regency Skin Institute Pllc — 14 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Surprise