Individual
LAUREN RAE YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10815 W MCDOWELL RD STE 301, AVONDALE, AZ 85392-5016
(623) 535-0740
(623) 535-0741
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7955
AZ
363A00000X
Physician Assistant
7955
AZ
Other
Enumeration date
04/05/2019
Last updated
07/19/2022
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