Provider Demographics
NPI:1821866856
Name:CRAWFORD, LAUREN NADLER (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:NADLER
Last Name:CRAWFORD
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 1:6000 UNIVERSITY AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8294
Mailing Address - Country:US
Mailing Address - Phone:515-226-8484
Mailing Address - Fax:
Practice Address - Street 1:6000 UNIVERSITY AVE STE 350
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8294
Practice Address - Country:US
Practice Address - Phone:515-226-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant