Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Lauren G. Heaston, PA-C

Individual provider Physician Assistant · NPI 1245616440

Mrs. Lauren G. Heaston, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1000
Fax: (215) 590-2204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 Main St Ste 400, Peoria, IL 61606-2036 — (309) 308-0920

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.005592 (IL)

Record details

NPI number1245616440
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESMay 14, 2019

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