Individual provider · Type 1 NPI
Molly Anne Churlonis
Medical Physician Assistant · Lake Forest, CA
NPI number
1699201277
Active
Practice location
29100 Portola Pkwy Ste G
Lake Forest, CA 92630-8712
Mailing address
147 W Canada Apt B
San Clemente, CA 92672-4664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA54884 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1699201277
Molly Anne Churlonis's National Provider Identifier is 1699201277, issued on May 3, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Forest, CA. The record was last updated on Apr 5, 2022.