Individual
LAUREN MATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2188
Mailing address
5 WALNUT HILL DR, PENFIELD, NY 14526-9774
(585) 330-9324
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
01/26/2022
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