Lauren Elizabeth Walters PA-C

NPI 1780007971 - Physician Assistant - 363A00000X

NPI Details
NPI 1780007971
Gender Female
Enumeration Date 01/24/2014
Last Updated 01/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
43259 NEBEL TRL
CLINTON TOWNSHIP MI, 48038-2462, US
Phone (586) 747-2912
Fax
Business Location
43259 NEBEL TRL
CLINTON TOWNSHIP MI, 48038-2462, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601006866
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According to our database, Lauren Elizabeth Walters PA-C NPI is 1780007971, taxonomy code is 363A00000X and license number is 5601006866, license state is located at Michigan. Lauren Elizabeth Walters PA-C physically located at 43259 Nebel Trl, Clinton Township MI, 48038-2462. NPI Number Lauren Elizabeth Walters PA-C has the Individual type.

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1780007971 NPI number is provided on an as is basis without warranty of any kind. 1780007971 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren Elizabeth Walters PA-C are for informational purposes only.