Lauren Packard, PA-C
Physician Assistant, Medical in Grants Pass, OR. Individual provider (NPI-1).
NPI number1700403292
StatusActive
Last updated in NPPESJun 30, 2020
Details
- NPI
- 1700403292
- Entity type
- Individual (NPI-1)
- Name
- Lauren Packard
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2020
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA200499 | OR | Yes |
Practice location
495 Sw Ramsey AveGrants Pass, OR 97527-5681
Phone 541-476-6644
Mailing address
7010 Turweston LnCastle Pines, CO 80108-3606
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