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Individual

LAUREN COPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
250 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606
(757) 596-1900
Mailing address
250 NAT TURNER BLVD S, NEWPORT NEWS, VA 23606-3074
(757) 596-1900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108545
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902296510
VA
Enumeration date
02/03/2015
Last updated
08/06/2018
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