NPI | 1851662498 |
---|---|
Former Name | LAUREN R. LOVEDAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA2083) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN PA2083) |
Enumeration Date | 2012-01-12 |
Last Update Date | 2019-07-26 |