| NPI | 1558614610 |
|---|---|
| Former Name | LAURA LYNN DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK PADA1087) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 2230) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-11-09 |