Individual
LAUREN DEANE KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 SOUTHBRIDGE ST, AUBURN, MA 01501-2442
(774) 221-5135
(774) 221-5136
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004105
CO
363A00000X
Physician Assistant
Primary
PA5532
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49203746
—
CO
Enumeration date
09/23/2014
Last updated
11/09/2015
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