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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAUREN WHITNEY WILSON, PA-C

Active Sole Proprietor

LAUREN WHITNEY WILSON, PA-C is a Physician Assistant healthcare provider located in LAKE OZARK, Missouri. NPI 1619780798 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKE OZARK, MO

Registration Details

NPI Number
1619780798
Provider Type
Individual
Gender
Female
NPI Issued
Jan 31, 2025 (1.543925181994 yrs)
Last Updated
Oct 7, 2025
License
2025005976 (MO)
Sole Proprietor
Yes

Practice Information

Address
1870 BAGNELL DAM BLVD
LAKE OZARK, MO, 650498658
Browse MO providers · Browse ZIP 65049
Phone
5733652318
Fax
5733653009
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.