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Individual

LAUREN NICOLE VAHLKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
102 STONEWALL JACKSON DR UNIT 3, ELIZABETHTON, TN 37643-2987
(217) 440-0618

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110010685
VA
363A00000X
Physician Assistant
5551
TN
363AM0700X
Medical Physician Assistant
0110010685
VA
363AM0700X
Medical Physician Assistant
Primary
5551
TN

Other

Enumeration date
03/22/2023
Last updated
07/31/2026
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