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Molly Anne Churlonis
Medical Physician Assistant in Lake Forest, California
NPI 1699201277

Molly Anne Churlonis is a Medical Physician Assistant based in San Clemente, CA and is specialized in Medical. Molly Anne Churlonis practices in Lake Forest, CA. The NPI Number for Molly Anne Churlonis is 1699201277 and holds a License No. PA54884 (California).

The current practice location address for Molly Anne Churlonis is 29100 Portola Pkwy Ste G, Lake Forest, CA and can be reached out via phone at 844-254-6382.

Location: 29100 Portola Pkwy Ste G, Lake Forest, CA, 92672-4664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699201277
Provider Name
Molly Anne Churlonis
Credential
Provider Entity Type
Individual
Gender
Female
Address
29100 Portola Pkwy Ste G, Lake Forest, CA, 92672-4664
Phone Number
844-254-6382
Fax Number
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29100 Portola Pkwy Ste G
City
Lake Forest
State
California
Zip
92630-8712
Phone Number
844-254-6382
Fax Number
person
Provider Business Mailing Address Details
Address
29100 Portola Pkwy Ste G
City
Lake Forest
State
California
Zip
92630-8712
Phone Number
844-254-6382
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA54884 (California)
Definition
Definition to come...
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