Provider Demographics
NPI:1578219440
Name:MCGAUGHEY, LAUREN EVAN (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:EVAN
Last Name:MCGAUGHEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MCGAUGHEY
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:1060 MEYER RD
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-3800
Mailing Address - Country:US
Mailing Address - Phone:314-230-1500
Mailing Address - Fax:314-230-1122
Practice Address - Street 1:1060 MEYER RD
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3800
Practice Address - Country:US
Practice Address - Phone:314-230-1500
Practice Address - Fax:314-230-1122
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant