Individual
LAUREN HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
390 BIRCH ST, MORGANTOWN, WV 26505-3203
(304) 598-4214
(304) 293-8724
Mailing address
3600 MEYRAN AVENUE, PITTSBURGH, PA 15213
(412) 864-1458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA004620
PA
363AM0700X
Medical Physician Assistant
Primary
MA060143
PA
Other
Enumeration date
12/18/2018
Last updated
04/26/2022
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