MEDICARE: LAUREN C LAPP PA-C

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
1	363A00000X	Physician Assistant	PA9110249	FL
2	363AM0700X	Medical Physician Assistant	PA9110249	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1306387915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN C LAPP PA-C

Provider Business Mailing Address
First Line	:	1111 W FAIRBANKS AVE STE 200
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	407-635-3024
Fax Number	:	321-203-4326

Provider Business Practice Location Address
First Line	:	1111 W FAIRBANKS AVE STE 200
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4777
Country	:	US
Telephone Number	:	407-635-3024
Fax Number	:	321-203-4326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	07/02/2024

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Directions to “ LAUREN C LAPP PA-C” Practice Location

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