| NPI | 1417389776 |
|---|---|
| Former Name | LAUREN ANNE JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056525) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MD056525) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 017703) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA056525) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2018-12-13 |