Lauren Ann Fazenbaker, PA-C

NPI #1033815113 in Venice, Florida

Provider Information

NPI Number: 1033815113
Entity Type: Individual
Name: Lauren Ann Fazenbaker, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 1, 2023
Last Updated: May 25, 2023

Practice Location

Address: 19790 WELLEN PARK BLVD
Address 2: SUITE 201B
City: Venice
State: Florida
ZIP Code: 34293
Phone: (941) 777-7771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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