Individual provider · Type 1 NPI

Lauren Blair Tidwell, PA-C

Medical Physician Assistant · Huntsville, AL

NPI number 1497204002 Active

Practice location

2317 Memorial Pkwy SW Ste 300
Huntsville, AL 35801-5623

Call (256) 881-4112 Map

Other practice locations

  • 1600 Browns Ferry Rd, Madison, AL 35758-9601 · (256) 461-7272
  • 104 Spenryn Dr, Madison, AL 35758-1890 · (256) 772-4300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.1163 (AL)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1497204002

Lauren Blair Tidwell, PA-C's National Provider Identifier is 1497204002, issued on Sep 23, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Huntsville, AL. The record was last updated on Sep 11, 2021.