Healthcare Provider Details

I. General information

NPI: 1457275604
Provider Name (Legal Business Name): DR. LAURYNE MASSINGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 2030 BOX 1
DPO AE
09283-0001
US

IV. Provider business mailing address

UNIT 2030 BOX 1
DPO AE
09283-0001
US

V. Phone/Fax

Practice location:
  • Phone: 787-685-7587
  • Fax:
Mailing address:
  • Phone: 787-685-7587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: