Provider Demographics
NPI:1316495443
Name:KNIPE, LAUREN L (PA-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:L
Last Name:KNIPE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:L
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1155
Mailing Address - Country:US
Mailing Address - Phone:484-526-6000
Mailing Address - Fax:484-526-9410
Practice Address - Street 1:701 OSTRUM ST STE 504
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1153
Practice Address - Country:US
Practice Address - Phone:484-526-3648
Practice Address - Fax:484-526-2034
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA058482363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant