Individual
LAUREN PAIGE WEIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4808 N 24TH ST UNIT 430, PHOENIX, AZ 85016-9123
(520) 901-0556
Mailing address
4808 N 24TH ST UNIT 430, PHOENIX, AZ 85016-9123
(520) 901-0556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/25/2019
Last updated
03/23/2022
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