Individual
LAUREN R PANKIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Mailing address
281 LINCOLN ST, PROVIDER ENROLLMENT, WORCESTER, MA 01605-2138
(508) 334-8015
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA7247
MA
Other
Enumeration date
08/31/2019
Last updated
10/16/2025
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