Individual
LAUREN K GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-2438
(302) 733-4832
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-2438
(302) 733-4832
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
017074
NY
363AS0400X
Surgical Physician Assistant
Primary
C5-0011485
DE
Other
Enumeration date
10/09/2013
Last updated
01/14/2021
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