Individual provider · Type 1 NPI

Lauren Hennessey, PA-C

Medical Physician Assistant · Morgantown, WV

NPI number 1114499985 Active

Practice location

390 Birch St
Morgantown, WV 26505-3203

Fax (304) 293-8724

Mailing address

3600 Meyran Avenue
Pittsburgh, PA 15213

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XOA004620 (PA)
Medical Physician Assistant Primary 363AM0700XMA060143 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1114499985

Lauren Hennessey, PA-C's National Provider Identifier is 1114499985, issued on Dec 18, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Morgantown, WV. The record was last updated on Apr 26, 2022.