Individual
LAUREN HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3089 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3216
(850) 203-3790
Mailing address
2053 FOUNTAIN PROFESSIONAL CT STE B, NAVARRE, FL 32566-5109
(850) 530-0225
(850) 522-8354
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9115599
FL
Other
Enumeration date
01/30/2022
Last updated
06/07/2022
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