Individual
LAUREN NICOLE POLANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-2220
(570) 587-2290
Mailing address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5000
(570) 622-2520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057799
PA
Other
Enumeration date
10/05/2015
Last updated
12/28/2017
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