Stavroff, Lauren

Stavroff, Lauren is an individual health care provider with primary practice located at 4008 W Bethel Ave , Muncie IN 47304-5442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stavroff, Lauren can be contacted via phone (765) 298-4750.

Contact Information

Primary practice address
4008 W Bethel Ave Muncie IN 47304-5442
Phone: (765) 298-4750
Fax: (765) 286-0185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002888A Indiana

Profile Details

NPI number 1861031593
LBN Legal business name Stavroff, Lauren
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2019
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861031593 NPPES
Indiana MEDICAID 300033860

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