Lauren Ambrose P.A.

NPI 1710365135 - Physician Assistant - 363A00000X

NPI Details
NPI 1710365135
Gender Female
Enumeration Date 05/18/2015
Last Updated 05/18/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2587 HENDERSON DR
JACKSONVILLE NC, 28546-5253, US
Phone (910) 938-3200
Fax (910) 938-3043
Business Location
2587 HENDERSON DR
JACKSONVILLE NC, 28546-5253, US
Phone (910) 938-3200
Fax (910) 938-3043
Toxanomy
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-05739
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According to our database, Lauren Ambrose P.A. NPI is 1710365135, taxonomy code is 363A00000X and license number is 0010-05739, license state is located at North Carolina. Lauren Ambrose P.A. physically located at 2587 Henderson Dr, Jacksonville NC, 28546-5253. NPI Number Lauren Ambrose P.A. has the Individual type.

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1710365135 NPI number is provided on an as is basis without warranty of any kind. 1710365135 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Ambrose P.A. are for informational purposes only.