Individual
LAUREN KELLY FREEBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C5-0012317
DE
363A00000X
Physician Assistant
C5-0012317
DE
Other
Enumeration date
08/19/2025
Last updated
09/26/2025
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