Individual
MISS LAUREN FUSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 E MURPHY AVE, CONNELLSVILLE, PA 15425-2724
(724) 628-1500
Mailing address
2610 HAYMAKER FARM RD, EXPORT, PA 15632-9374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058802
PA
363AM0700X
Medical Physician Assistant
MA058802
PA
Other
Enumeration date
12/29/2016
Last updated
08/26/2022
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