Provider Demographics
NPI:1558090332
Name:MARKS, LAUREN FRAZIER (PA)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:FRAZIER
Last Name:MARKS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 82510
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70598-2510
Mailing Address - Country:US
Mailing Address - Phone:337-234-5344
Mailing Address - Fax:337-234-5311
Practice Address - Street 1:99 W MARTIAL AVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6583
Practice Address - Country:US
Practice Address - Phone:337-234-5344
Practice Address - Fax:337-234-5311
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-07-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant