Individual
MS. LAUREN ELIZABETH SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 E 1ST ST, BLOOMSBURG, PA 17815-1480
(570) 416-1890
(570) 416-1892
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058556
PA
Other
Enumeration date
09/22/2016
Last updated
08/31/2020
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