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Individual
LAUREN SCHMIDT
Active
Individual
LAUREN SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58472
PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
10/17/2019
Last updated
11/03/2022
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