Provider Demographics
NPI:1881146538
Name:CALA EDWARDS, LAUREN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:CALA EDWARDS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:CALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:425 W 20TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-2128
Mailing Address - Country:US
Mailing Address - Phone:757-622-6520
Mailing Address - Fax:757-622-7205
Practice Address - Street 1:425 W 20TH ST STE 1
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-2128
Practice Address - Country:US
Practice Address - Phone:757-622-6520
Practice Address - Fax:757-622-7205
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPA2016-0089363A00000X
VA0110008629363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant