Individual
LAUREN MARIE WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1901 LEIGHTON AVE, ANNISTON, AL 36207-3270
(256) 240-9660
(256) 240-9636
Mailing address
1901 LEIGHTON AVE, ANNISTON, AL 36207-3270
(256) 240-9660
(256) 240-9636
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
AL
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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