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Lauren Marie Canary, PA
Medical Physician Assistant in Wauchula, Florida
NPI 1205948197

Lauren Marie Canary is a Medical Physician Assistant based in Wauchula, FL and is specialized in Medical. Lauren Marie Canary practices in Wauchula, FL and has the professional credentials of PA. The NPI Number for Lauren Marie Canary is 1205948197 and holds a License No. PA9101695 (Florida).

The current practice location address for Lauren Marie Canary is 515 Carlton Street, Wauchula, FL and can be reached out via phone at 863-773-6606 and via fax at 863-773-9542.

Location: 515 Carlton Street, Wauchula, FL, 33873
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205948197
Provider Name
Lauren Marie Canary
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
515 Carlton Street, Wauchula, FL, 33873
Phone Number
863-773-6606
Fax Number
863-773-9542
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291389500 05 FL
PA9101695 05 FL
institution
Provider Business Practice Location Address Details
Address
515 Carlton Street
City
Wauchula
State
Florida
Zip
33873
Phone Number
863-773-6606
Fax Number
863-773-9542
person
Provider Business Mailing Address Details
Address
515 Carlton Street
City
Wauchula
State
Florida
Zip
33873
Phone Number
863-773-6606
Fax Number
863-773-9542
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9101695 (Florida)
Definition
Definition to come...
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