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Individual

LAUREN FUGLEVAND

Active
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Individual

LAUREN FUGLEVAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1785
NH
363A00000X
Physician Assistant
60668478
WA
363A00000X
Physician Assistant
Primary
66002
CA
363A00000X
Physician Assistant
PA16882
TX
363AM0700X
Medical Physician Assistant
1785
NH

Other

Enumeration date
09/11/2015
Last updated
12/01/2025
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