Individual
LAUREN SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4202 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1513
(304) 925-7546
Mailing address
507 SWARTHMORE AVE, CHARLESTON, WV 25302-3016
(610) 597-1393
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
866
WV
Other
Enumeration date
12/11/2019
Last updated
07/12/2023
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