| NPI | 1689102154 |
|---|---|
| Former Name | LAUREN BUCHHOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA61165361) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020942) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2023-11-09 |