Laken Renee Tanner, MSPAP, PA-C

NPI #1174229579 in Waycross, Georgia

Provider Information

NPI Number: 1174229579
Entity Type: Individual
Name: Laken Renee Tanner, MSPAP, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MSPAP, PA-C
Enumeration Date: Feb 7, 2023
Last Updated: Feb 7, 2023

Practice Location

Address: 1900 TEBEAU ST
City: Waycross
State: Georgia
ZIP Code: 31501-6357
Phone: (912) 283-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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