Provider Demographics
NPI:1508160805
Name:BAILEY, LAUREN E (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:BAILEY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718
Practice Address - Country:US
Practice Address - Phone:302-733-6510
Practice Address - Fax:540-667-2476
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2018-06-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant