Lauren Matla
Physician Assistant, Surgical in Norwalk, CT. Individual provider (NPI-1).
NPI number1710596754
StatusActive
Last updated in NPPESJan 26, 2022
Details
- NPI
- 1710596754
- Entity type
- Individual (NPI-1)
- Name
- Lauren Matla
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Jan 26, 2022
- Last updated
- Jan 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
34 Maple StNorwalk, CT 06850-3894
Phone 203-852-2188
Mailing address
5 Walnut Hill DrPenfield, NY 14526-9774
Phone 585-330-9324
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All 62 Surgical Physician Assistant providers in Norwalk · All 2,543 providers in Norwalk
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