Individual provider · Type 1 NPI

Lauren Matla

Surgical Physician Assistant · Norwalk, CT

NPI number 1710596754 Active

Practice location

34 Maple St
Norwalk, CT 06850-3894

Mailing address

5 Walnut Hill Dr
Penfield, NY 14526-9774

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1710596754

Lauren Matla's National Provider Identifier is 1710596754, issued on Jul 27, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Norwalk, CT. The record was last updated on Jan 26, 2022.