Individual
LAUREN ASHLEY BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
(412) 359-8878
Mailing address
420 E NORTH AVE STE 206, PITTSBURGH, PA 15212-4746
(412) 359-8850
(412) 359-8878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054846
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13540423
CAQH
—
Enumeration date
06/24/2011
Last updated
09/30/2020
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