Provider Demographics
NPI:1619335411
Name:ATKINSON, LAUREN F (PA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:F
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:FAYE
Other - Last Name:KNUPPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2754 NC HIGHWAY 68 S STE 11
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8381
Mailing Address - Country:US
Mailing Address - Phone:336-802-1111
Mailing Address - Fax:336-802-1111
Practice Address - Street 1:2754 NC HIGHWAY 68 S STE 111
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8382
Practice Address - Country:US
Practice Address - Phone:336-802-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-08
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-06253363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant