NPI | 1467899344 |
---|---|
Former Name | LAUREN LANFORD ALDRIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA08580) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2013-05-31 |
Last Update Date | 2024-04-26 |