NPI | 1407891294 |
---|---|
Former Name | LAUREN G PAKOSZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50003243) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002266) |
363AS0400X Physician Assistant, Surgical (Licence: OH 50003243) | |
Enumeration Date | 2006-06-17 |
Last Update Date | 2024-08-20 |