| Doctor Name: | LAUREN AASE |
| NPI Number: | 1578550299 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | R 120251-9 |
| Business Practice Address: | 149 Hart St 82 Medical Group/sgomf Sheppard Afb, TX - 763113477 |
| Business Phone Number: | 9406766855 |
| Business Fax Number: | |
| Mailing Address: | 149 Hart St, 82nd Medical Group/sgomf SHEPPARD AFB |
| State: | TX |
| Postal Code: | 763113477 |
| Phone Number: | 9406766855 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 09/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R 120251-9 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |