Individual
LAUREN HOWARD VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 W ANNANDALE RD, FALLS CHURCH, VA 22046-4205
(703) 521-6662
Mailing address
500 W ANNANDALE RD, FALLS CHURCH, VA 22046-4205
(703) 521-6662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03975
NC
363A00000X
Physician Assistant
Primary
0110-005687
VA
363A00000X
Physician Assistant
1900
SC
363A00000X
Physician Assistant
TL1900
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1587PA
—
SC
01
—
P01196279
RAILROAD MEDICARE
SC
Enumeration date
01/30/2013
Last updated
03/17/2018
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