Individual
MS. LAUREN ASHLEY FELLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12462 PUTNAM ST STE 501, WHITTIER, CA 90602-1049
(562) 789-5439
(562) 789-4443
Mailing address
12462 PUTNAM ST STE 501, WHITTIER, CA 90602-1049
(562) 789-5439
(562) 789-4443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4543
MA
363AM0700X
Medical Physician Assistant
57618
CA
363AS0400X
Surgical Physician Assistant
Primary
57618
CA
Other
Enumeration date
10/10/2012
Last updated
05/01/2023
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