Individual provider · Type 1 NPI

Lauren Tatum, P.A

Medical Physician Assistant · Covina, CA

NPI number 1740601509 Active

Practice location

420 W Rowland St
Covina, CA 91723-2943

Fax (626) 251-1559

Mailing address

12942 Baltimore Ct
Chino, CA 91710-5937

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X51263 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1740601509

Lauren Tatum, P.A's National Provider Identifier is 1740601509, issued on Dec 21, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Covina, CA. The record was last updated on May 4, 2016.