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NPI Code Detail

MEDICARE: LAUREN ELIZABETH FABIAN PA-C

MEDICARE: LAUREN ELIZABETH FABIAN 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
1363AM0700XMedical Physician AssistantMA050695PA
2363A00000XPhysician AssistantMA050695PA

General Provider Information

NPI Number : 1972561074
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ELIZABETH FABIAN PA-C
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number : 570-271-6578
Provider Business Practice Location Address
First Line : 10 CHOATE CIR
Second Line :
City : MONTOURSVILLE
State : PA
Zip : 17754-9791
Country : US
Telephone Number : 570-368-5566
Fax Number : 570-368-5564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 05/10/2022

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1750703922 — LETITIA SAYLOR CRNA
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Directions to “ LAUREN ELIZABETH FABIAN PA-C” Practice Location

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