Individual
LAUREN ELIZABETH CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HOSPITAL AVE STE 311, DU BOIS, PA 15801-1465
(814) 231-2101
Mailing address
320 DANVER COUNTRY LN, CLEARFIELD, PA 16830-7042
(814) 592-2593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060687
PA
363A00000X
Physician Assistant
OA004851
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/08/2019
Last updated
06/20/2019
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