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Individual

DR. LAUREN MARIE WEINAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9400
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019038350
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R78331
AZ

Other

Enumeration date
10/17/2019
Last updated
07/15/2020
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