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NPI Code Detail

MEDICARE: LAUREN UDDO DC

MEDICARE: LAUREN UDDO DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH13779FL

General Provider Information

NPI Number : 1033873666
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN UDDO DC
Provider Business Mailing Address
First Line : 1770 S WOODLAND BLVD
Second Line :
City : DELAND
State : FL
Zip : 32720-7915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1770 S WOODLAND BLVD
Second Line :
City : DELAND
State : FL
Zip : 32720-7915
Country : US
Telephone Number : 386-414-7440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2021
Last Update Date : 11/25/2024

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Directions to “ LAUREN UDDO DC” Practice Location

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