Individual
LAUREN ASHLEY PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4943 GERMANTOWN AVE, PHILADELPHIA, PA 19144-5962
(215) 991-9911
(215) 991-9913
Mailing address
PO BOX 26461, PHILADELPHIA, PA 19141-6461
(215) 991-9911
(215) 991-9913
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT002719E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024234010001
—
PA
Enumeration date
10/16/2018
Last updated
10/16/2018
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