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NPI Code Detail

MEDICARE: MRS. LYSE LAURIN-PIERRE DNP, APRN

MEDICARE:  MRS. LYSE  LAURIN-PIERRE  DNP, APRN
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
1363LF0000XFamily Nurse PractitionerAPRN3287032FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265751853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LYSE LAURIN-PIERRE DNP, APRN
Provider Business Mailing Address
First Line : PO BOX 22239
Second Line :
City : NEW YORK
State : NY
Zip : 10087-0001
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 10330 NUVISTA AVE
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-9365
Country : US
Telephone Number : 872-231-3162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2010
Last Update Date : 11/13/2025

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