MISS LAUREN WELLS QUEEN PA-C NPI 1265087076

NPI Information

MISS Lauren Wells Queen, PA-C is a surgical physician assistant in Raleigh, NC. MISS Lauren Wells Queen, PA-C NPI is 1265087076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11200 GOVERNOR MANLY WAY STE 309
RALEIGH, NC
ZIP 27614-375
Phone: (919) 562-9410
Fax: (919) 562-2948

The NPI 1265087076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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