Individual
DR. LAUREN SARAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0600003515
VT
208000000X
Pediatrics Physician
60217701
WA
208000000X
Pediatrics Physician
Primary
MED-PHYS-LIC-42164
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2007
Last updated
07/14/2025
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