| NPI | 1104354653 |
|---|---|
| Former Name | LAUREN ANN DUGGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110535) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601008227) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2019-02-26 |