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1053208280 NPI number — LAURYN A. LEE

NPI Number: 1053208280
Health Care Provider/Practitioner: LAURYN A. LEE

Information about “1053208280” NPI (LAURYN A. LEE) exists in 1053208280 in HTML format HTML  |  1053208280 in plain Text format TXT  |  1053208280 in PDF (Portable Document Format) PDF  |  1053208280 in an XML format XML  formats.

NPI Number : 1053208280 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053208280",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEE",
    "FirstName": "LAURYN",
    "MiddleName": "A.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "18122 EAGLES WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEER ISLAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32778-9024",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-249-9812",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "32 E MILLER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINTER GARDEN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34787-3570",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-683-1072",
    "PracticeLocationAddressFaxNumber": "407-269-5888",
    "EnumerationDate": "06/20/2025",
    "LastUpdateDate": "06/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "RBT-25-445037",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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