Individual
LAUREN PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
Mailing address
7010 TURWESTON LN, CASTLE PINES, CO 80108-3606
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200499
OR
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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