Individual
LAUREN M FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
815 SAINT JOSEPH DR, SAINT JOSEPH, MI 49085-2529
(269) 983-3455
(269) 983-5920
Mailing address
815 SAINT JOSEPH DR, SAINT JOSEPH, MI 49085-2529
(269) 983-3455
(269) 983-5920
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601009726
MI
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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