Individual
MRS. LAUREN MCKENZIE AX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
4425 E AGAVE RD STE 148, PHOENIX, AZ 85044-0623
(480) 704-7546
(480) 704-7549
Mailing address
PO BOX 61025, PHOENIX, AZ 85082-1025
(480) 681-3300
(480) 681-3301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060393
PA
Other
Enumeration date
11/25/2018
Last updated
06/21/2023
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