Individual
MRS. LAUREN PEELER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1579
NE
363A00000X
Physician Assistant
002372
IA
363AM0700X
Medical Physician Assistant
Primary
1579
NE
Other
Enumeration date
03/03/2011
Last updated
08/20/2026
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