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Individual
LAUREN ELIZABETH AUTRY
Active
Individual
LAUREN ELIZABETH AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12359
NC
363AM0700X
Medical Physician Assistant
0010-12359
NC
Other
Enumeration date
06/17/2022
Last updated
07/11/2023
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