NPI Code Details Logo

NPI 1366313710

NPI 1366313710 : LAUREN ECKSTEIN MS, LCGC : HOLLYWOOD, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1366313710
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LAUREN ECKSTEIN MS, LCGC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/17/2025
-----------------------------------------------------
    Last Update Date     |    09/17/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1131 N 35TH AVE FL 2 
-----------------------------------------------------
    City                 |    HOLLYWOOD
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33021-5403
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-265-6319
-----------------------------------------------------
    Fax                  |    954-276-0166
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1251 SE 7TH AVE APT 104 
-----------------------------------------------------
    City                 |    DANIA BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33004-4681
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-212-6457
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    170300000X
-----------------------------------------------------
    Taxonomy Name        |    Genetic Counselor (M.S.)
-----------------------------------------------------
    License Number       |    799
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.