Individual
LAUREN H MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8525 ROLLING RD STE 300, MANASSAS, VA 20110-3673
(703) 393-1667
Mailing address
901 ENTERPRISE PKWY, STE 300, HAMPTON, VA 23666-6249
(757) 827-2480
(757) 827-2566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-005703
VA
Other
Enumeration date
03/16/2017
Last updated
01/13/2022
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