Individual
MS. LAUREN NICOLE MATEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 CENTERVILLE RD STE 102, WARWICK, RI 02886-4376
(401) 773-7220
Mailing address
10 FERRY ST STE 302, CONCORD, NH 03301-5081
(603) 333-1471
(603) 255-7286
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01794
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110201584A
—
MA
Enumeration date
10/25/2018
Last updated
06/17/2025
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