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NPI Code Detail

MEDICARE: MRS. LILIANE LAURENT MPH,LDN

MEDICARE:  MRS. LILIANE  LAURENT  MPH,LDN
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
1133N00000XNutritionist133N00000XFL

General Provider Information

NPI Number : 1336247287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LILIANE LAURENT MPH,LDN
Provider Business Mailing Address
First Line : 11061 NW 46TH DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33076-2142
Country : US
Telephone Number : 954-575-5835
Fax Number :
Provider Business Practice Location Address
First Line : 225 S CONGRESS AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4616
Country : US
Telephone Number : 561-274-3100
Fax Number : 561-274-3144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/21/2022

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Directions to “ MRS. LILIANE LAURENT MPH,LDN” Practice Location

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