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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

Education

OTHER

Class of 2019

Contact & Hours

Address
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Quick Facts

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

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