Laura Jay Weatherman PA-C, MPAS

NPI 1790751196 - Physician Assistant - 363AM0700X

NPI Details
NPI 1790751196
Gender Female
Enumeration Date 02/24/2006
Last Updated 12/08/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1510 N BRYAN AVE
LAMESA TX, 79331-3143, US
Phone (806) 872-7494
Fax (806) 872-5917
Business Location
PO BOX 245
LAMESA TX, 79331-0245, US
Phone (806) 462-7386
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA-C, MPAS
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According to our database, Mrs. Laura Jay Weatherman PA-C, MPAS NPI is 1790751196, taxonomy code is 363AM0700X and license number is PA-C, MPAS, license state is located at Texas. Laura Jay Weatherman PA-C, MPAS physically located at 1510 N Bryan Ave, Lamesa TX, 79331-3143. NPI Number Laura Jay Weatherman PA-C, MPAS has the Individual type.

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1790751196 NPI number is provided on an as is basis without warranty of any kind. 1790751196 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Jay Weatherman PA-C, MPAS are for informational purposes only.