MEDICARE: LAUREN WEBB PA-C

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
1	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	001003622	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1104852	OTHER	NC	NCCPA

General Provider Information

NPI Number	:	1649532599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN WEBB PA-C

Provider Business Mailing Address
First Line	:	1 UNIVERSITY DRIVE
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723
Country	:	US
Telephone Number	:	828-227-7640
Fax Number	:	828-227-7400

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY DRIVE WCU HEALTH SERVICES
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-9646
Country	:	US
Telephone Number	:	828-227-7640
Fax Number	:	828-227-7400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	02/18/2022

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Directions to “ LAUREN WEBB PA-C” Practice Location

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