Individual
LAUREN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-3095
(215) 728-2773
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065736
PA
Other
Enumeration date
06/19/2024
Last updated
10/28/2024
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