Lauren T Flavan, PA-C

NPI #1750983045 in Alton, Illinois

Provider Information

NPI Number: 1750983045
Entity Type: Individual
Name: Lauren T Flavan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 11, 2020
Last Updated: Apr 5, 2022

Practice Location

Address: 4 MEMORIAL DR STE 230
City: Alton
State: Illinois
ZIP Code: 62002-6704
Phone: (618) 463-7874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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