| NPI | 1578819793 |
|---|---|
| Former Name | LAUREN SIKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106673) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2024-06-25 |