Individual provider · Type 1 NPI

Lauren Renee Stovall, PA

Medical Physician Assistant · Madison, WI

NPI number 1821628082 Active

Practice location

4602 Eastpark Blvd
Madison, WI 53718-2002

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X4897-23 (WI)
Medical Physician Assistant Primary 363AM0700X4897 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1821628082

Lauren Renee Stovall, PA's National Provider Identifier is 1821628082, issued on Jan 16, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Oct 21, 2022.