| NPI | 1043596588 |
|---|---|
| Former Name | LAUREN ROSE BRICKWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50-003382) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 3382) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2016-12-12 |