Individual
MS. LAUREN R RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA056089
PA
363AS0400X
Surgical Physician Assistant
1102168
PA
Other
Enumeration date
03/27/2013
Last updated
01/03/2023
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