Lauryn B Slack
NPI #1235722976 in Charleston, West Virginia
Provider Information
- NPI Number
- 1235722976
- Entity Type
- Individual
- Name
- Lauryn B Slack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 13, 2021
- Last Updated
- Jan 12, 2026
Practice Location
- Address
- 3100 MACCORKLE AVE SE STE 205
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-1228
- Phone
- (304) 388-2303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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