Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Paige Weidman

Individual provider Medical Physician Assistant · NPI 1760039663

Lauren Paige Weidman is a Physician Assistant in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Omni Dermatology Incorporated, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2019
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Practice location Address checks out

4808 N 24th St Unit 430
Phoenix, AZ 85016-9123
Phone: (520) 901-0556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1760039663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2019
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Omni Dermatology Incorporated — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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