Individual
MS. LAUREN R VELKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 S GOVERNORS AVE STE 101A, DOVER, DE 19904-3530
(302) 744-7980
Mailing address
830 FOGELMAN RD, MUNCY, PA 17756-6811
(484) 639-1476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0000924
DE
363AS0400X
Surgical Physician Assistant
Primary
C5-0000924
DE
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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