Doctor Name: | LAUREN M LITTLETON |
NPI Number: | 1184082406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | TA.1823 |
Business Practice Address: | 315 W Fort Williams St # 100 Sylacauga, AL - 351502433 |
Business Phone Number: | 2562496995 |
Business Fax Number: | 2562456992 |
Mailing Address: | 315 W Fort Williams St # 100, SYLACAUGA |
State: | AL |
Postal Code: | 351502433 |
Phone Number: | 2562496995 |
Fax Number: | 2562456992 |
NPI Enumeration Date: | 02/01/2016 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | TA.1823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |