Provider Demographics
NPI:1144554163
Name:GEORGE, LAUREN SAFRAN (PA-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:SAFRAN
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:NOELLE
Other - Last Name:SAFRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1015 18TH ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5217
Mailing Address - Country:US
Mailing Address - Phone:202-835-2222
Mailing Address - Fax:
Practice Address - Street 1:1015 18TH ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5217
Practice Address - Country:US
Practice Address - Phone:202-835-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003153363A00000X
DCPA030742363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant