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NPI Code Detail

MEDICARE: DR. LAUREN A GIRARD DO

MEDICARE: DR. LAUREN A GIRARD DO
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
1207Q00000XFamily Medicine PhysicianUO 5228FL
2390200000XStudent in an Organized Health Care Education/Training ProgramOS15563FL
3207Q00000XFamily Medicine PhysicianOS15563FL

General Provider Information

NPI Number : 1346690484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN A GIRARD DO
Provider Business Mailing Address
First Line : 3512 S ATLANTIC AVE
Second Line :
City : DAYTONA BEACH SHORES
State : FL
Zip : 32118-7639
Country : US
Telephone Number : 386-767-9544
Fax Number : 386-767-9914
Provider Business Practice Location Address
First Line : 3512 S ATLANTIC AVE
Second Line :
City : DAYTONA BEACH SHORES
State : FL
Zip : 32118-7639
Country : US
Telephone Number : 386-767-9544
Fax Number : 386-767-9914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 05/19/2022

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