Provider Demographics
NPI:1568003655
Name:ZAUCHA, LAUREN ASHLEY (PA-C)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:ASHLEY
Last Name:ZAUCHA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 TURTLE CREEK BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-5435
Mailing Address - Country:US
Mailing Address - Phone:972-400-2866
Mailing Address - Fax:
Practice Address - Street 1:3131 TURTLE CREEK BLVD STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-5435
Practice Address - Country:US
Practice Address - Phone:972-400-2866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085007332363A00000X
TXPA14668363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant