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

MS. Lauren Charlie Moreno, PA

Individual provider Physician Assistant · NPI 1932579620

MS. Lauren Charlie Moreno, PA is a Physician Assistant in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Mountain Park Health Center, a 121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

926 E McDowell Rd Ste 202
Phoenix, AZ 85006-2508
Phone: (602) 609-4525
Fax: (623) 584-7194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7734 N 59th Ave, Glendale, AZ 85301 — (602) 569-3999

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6136 (AZ)

Record details

NPI number1932579620
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mountain Park Health Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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