Individual
LAUREN ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
470 HIGHWAY 421 N, BEDFORD, KY 40006-8690
(502) 255-7732
(502) 235-3970
Mailing address
470 HIGHWAY 421 N, BEDFORD, KY 40006-8690
(502) 255-7732
(502) 255-3970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09510
NC
363A00000X
Physician Assistant
10003743A
IN
363A00000X
Physician Assistant
3819
SC
363A00000X
Physician Assistant
Primary
PA3641
KY
363A00000X
Physician Assistant
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104410296
ANTHEM PTAN
IN
05
—
7101066920
—
KY
Enumeration date
08/02/2019
Last updated
09/09/2025
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