Individual provider · Type 1 NPI

Lauryn B. Slack

Physician Assistant · Charleston, WV

NPI number 1235722976 Active

Practice location

3100 Maccorkle Ave SE Ste 205
Charleston, WV 25304-1228

Call (304) 388-2303 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3061 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235722976

Lauryn B. Slack's National Provider Identifier is 1235722976, issued on Feb 13, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, WV. The record was last updated on Jan 12, 2026.