Individual
LAUREN WHITNEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8658
(573) 365-2318
(573) 365-3009
Mailing address
1870 BAGNELL DAM BLVD, LAKE OZARK, MO 65049-8658
(573) 365-2318
(573) 365-3009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025005976
MO
Other
Enumeration date
01/31/2025
Last updated
10/07/2025
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