MEDICARE: CHRISTOPHER L LAURENT NP

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
1	363LF0000X	Family Nurse Practitioner	11029034	FL
2	363L00000X	Nurse Practitioner	058765-23	NH

General Provider Information

NPI Number	:	1306839204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER L LAURENT NP

Provider Business Mailing Address
First Line	:	7205 CHESAPEAKE CIR STE 1
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8572
Country	:	US
Telephone Number	:	603-915-6962
Fax Number	:

Provider Business Practice Location Address
First Line	:	7205 CHESAPEAKE CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8572
Country	:	US
Telephone Number	:	603-915-6962
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	05/05/2025

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