Individual
LAUREN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
930 W 21ST ST FL 2, NORFOLK, VA 23517-1516
(757) 624-1785
(757) 624-1759
Mailing address
PO BOX 639971, CINCINNATI, OH 45263-9971
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110009392
VA
363AM0700X
Medical Physician Assistant
—
NY
Other
Enumeration date
06/08/2022
Last updated
04/22/2025
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