Individual
MRS. LAUREN YETZER SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 E 2ND ST, EMPORIUM, PA 15834-1302
(814) 486-1115
(814) 486-0404
Mailing address
90 E 2ND ST, EMPORIUM, PA 15834-1302
(814) 486-1115
(814) 486-0404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055289
PA
363A00000X
Physician Assistant
OA002769
PA
Other
Enumeration date
01/25/2012
Last updated
12/08/2017
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