Individual
MS. LAUREN M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
841 E HUNTING PARK AVE, SUITE 201, PHILADELPHIA, PA 19124-4800
(215) 537-7695
(215) 537-7001
Mailing address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 599-4851
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052767
PA
Other
Enumeration date
06/11/2008
Last updated
08/09/2021
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