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NPI Code Detail

MEDICARE: LAUREN AGUILAR PA

MEDICARE:   LAUREN  AGUILAR  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1518822022
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN AGUILAR PA
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-453-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ LAUREN AGUILAR PA” Practice Location

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