| NPI | 1952109803 |
|---|---|
| Other Name | LAUREN RACHELLE OMDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110010718) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200002164) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-11-25 |