Individual
MISS LAUREN ASHLI KJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1412-22 FAIRMOUNT AVENUE, DELAWARE VALLEY COMMUNITY HEALTH, PHILADELPHIA, PA 19130
(215) 684-5344
Mailing address
15044 WILSON HILL ROAD, GEORGETOWN, DE 19947
(302) 841-8917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057256
PA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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