Individual
LAUREN GRADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1736 HAMILTON ST, ALLENTOWN, PA 18104-5656
(610) 628-8300
Mailing address
8935 WERTMAN RD, FOGELSVILLE, PA 18051-2041
(484) 264-2220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059914
PA
363A00000X
Physician Assistant
OA004533
PA
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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