MEDICARE: LAUREN ELIZABETH COX 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
1	363A00000X	Physician Assistant	C0007472	MD
2	363A00000X	Physician Assistant	2549	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	023329	OTHER	CO	KAISER COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1871543132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH COX PA

Provider Business Mailing Address
First Line	:	PO BOX 37086
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3086
Country	:	US
Telephone Number	:	240-439-8812
Fax Number	:

Provider Business Practice Location Address
First Line	:	194 THOMAS JOHNSON DR
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4679
Country	:	US
Telephone Number	:	240-215-6310
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/14/2020

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Directions to “ LAUREN ELIZABETH COX PA” Practice Location

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