Individual provider · Type 1 NPI

Laura Dawn Deaton, PA-C

Medical Physician Assistant · Springfield, IL

NPI number 1346524014 Active

Practice location

520 N 4th St
Springfield, IL 62702-5238

Fax (217) 747-1351

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085-004181 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1346524014

Laura Dawn Deaton, PA-C's National Provider Identifier is 1346524014, issued on Sep 29, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, IL. The record was last updated on Oct 21, 2020.