Individual provider · Type 1 NPI

Lauren Marie Canary, PA

Medical Physician Assistant · Wauchula, FL

NPI number 1205948197 Active

Practice location

515 Carlton Street, Pioneer Medical Center
Wauchula, FL 33873

Fax (863) 773-9542

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101695 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1205948197

Lauren Marie Canary, PA's National Provider Identifier is 1205948197, issued on Aug 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wauchula, FL. The record was last updated on Aug 28, 2013.