Individual
LAUREN ELIZABETH FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1930 S BROAD ST UNIT 28, PHILADELPHIA, PA 19145-2328
(215) 419-7500
(215) 419-7505
Mailing address
1930 S BROAD ST UNIT 28, PHILADELPHIA, PA 19145-2328
(215) 419-7500
(215) 419-7505
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057417
PA
Other
Enumeration date
12/30/2014
Last updated
03/11/2022
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