NPI | 1619322237 |
---|---|
Former Name | LAUREN ANN LJUNGHAG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA179312) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO PA.0005395) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2023-08-14 |