| NPI | 1003212374 |
|---|---|
| Former Name | LAUREN ELIZABETH MEADOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4252) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 007422) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2023-03-27 |