LIECE LAURENS, PA-C

PA-C

Physician Assistant

NPI: 1619519915IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician Assistant

Physician Assistant — Medical

Code: 363AM0700X

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10002825A(IN)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2019

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Contact & Hours

Address: 7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Phone: (260) 458-3830

Quick Facts

NPI: 1619519915
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 7

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