NPI | 1568624823 |
---|---|
Other Name | LAUREN RUTH CORDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TN 0000001272) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2019-01-16 |