Individual
LAUREN WARD COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 REDSTONE AVE W STE 490, CRESTVIEW, FL 32536-6457
(850) 689-8321
Mailing address
1500 LEWIS TURNER BLVD APT M304, FORT WALTON BEACH, FL 32547-7204
(251) 363-5529
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9112670
FL
Other
Enumeration date
10/29/2019
Last updated
11/05/2021
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