NPI | 1326476292 |
---|---|
Former Name | LAUREN B PREYSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005064RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057554) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2022-07-21 |