Individual
MS. LAUREN NOELLE AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2023 W VISTA WAY STE F, VISTA, CA 92083-6030
(760) 726-6451
(760) 726-4822
Mailing address
2023 W VISTA WAY STE F, VISTA, CA 92083-6030
(760) 726-6451
(760) 726-4822
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA22152
CA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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