Provider Demographics
NPI:1346545787
Name:WETZLER, LAUREN LENZ (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:LENZ
Last Name:WETZLER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10 CENTER DRIVE ROOM 9N214A
Mailing Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892
Mailing Address - Country:US
Mailing Address - Phone:301-594-0407
Mailing Address - Fax:301-451-2029
Practice Address - Street 1:10 CENTER DR.
Practice Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892
Practice Address - Country:US
Practice Address - Phone:301-594-0407
Practice Address - Fax:301-451-2029
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2015-07-22
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Provider Licenses
StateLicense IDTaxonomies
MDC04429363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical