Individual provider · Type 1 NPI

Lauren Hobart Wise, PA

Surgical Physician Assistant · Tuscaloosa, AL

NPI number 1740467794 Active

Practice location

305 Paul Bryant Drive E
Tuscaloosa, AL 35403-2055

Call (205) 345-0192 Map

Fax (205) 247-2194

Mailing address

305 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2055

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-573 (AL)

Surgical Physician Assistant: Definition to come...

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About NPI 1740467794

Lauren Hobart Wise, PA's National Provider Identifier is 1740467794, issued on Jan 22, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jun 9, 2025.