Healthcare Provider Details
I. General information
NPI: 1639425887
Provider Name (Legal Business Name): LAUREN BAKER HELME PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/25/2012
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
119 SHAMROCK BLVD
VENICE FL
34293-1630
US
IV. Provider business mailing address
5600 BEE RIDGE RD STE C
SARASOTA FL
34233-1549
US
V. Phone/Fax
- Phone: 941-867-3376
- Fax: 941-667-5544
- Phone: 941-312-5027
- Fax: 941-554-8587
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | PA9106294 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | PA52700 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: