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Individual

MISS LAUREN NICOLE URIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2215 TOBACCO RD STE F, AUGUSTA, GA 30906-8112
(706) 396-1140
Mailing address
542 JENSEN LN, AUGUSTA, GA 30909-0091
(724) 880-5377

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024213
NY
363A00000X
Physician Assistant
024213-01
NY
363A00000X
Physician Assistant
Primary
12585
GA

Other

Enumeration date
10/15/2019
Last updated
10/14/2024
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