Lauren E Gush PA

NPI 1720410046 - Physician Assistant - 363A00000X

NPI Details
NPI 1720410046
Gender Female
Enumeration Date 08/09/2013
Last Updated 06/24/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
100 BROAD ST
GLENS FALLS NY, 12801-4349, US
Phone (518) 792-2223
Fax (518) 792-8231
Business Location
9 CAREY RD
QUEENSBURY NY, 12804-7880, US
Phone (518) 761-0300
Fax (518) 745-1378
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Lauren E Gush PA NPI is 1720410046, taxonomy code is 363A00000X Lauren E Gush PA physically located at 100 Broad St, Glens Falls NY, 12801-4349. NPI Number Lauren E Gush PA has the Individual type.

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1720410046 NPI number is provided on an as is basis without warranty of any kind. 1720410046 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren E Gush PA are for informational purposes only.