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Individual

MRS. LAUREN C VARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1706 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-7506
(803) 771-9455
Mailing address
1706 SAINT JULIAN PL, COLUMBIA, SC 29204-2410
(803) 771-7506
(803) 771-9455

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1092
SC
363AM0700X
Medical Physician Assistant
1092
SC

Other

Enumeration date
05/12/2006
Last updated
09/28/2012
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