Lauren Duane Buckingham, PA-C

NPI #1093109803 in Decatur, Illinois

Provider Information

NPI Number: 1093109803
Entity Type: Individual
Name: Lauren Duane Buckingham, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 19, 2015
Last Updated: May 5, 2016

Practice Location

Address: 2300 N EDWARD ST
City: Decatur
State: Illinois
ZIP Code: 62526-4163
Phone: (217) 876-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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