MEDICARE: DR. LAUREN BIRKS D.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	111N00000X	Chiropractor	CH8302	FL

General Provider Information

NPI Number	:	1649279068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN BIRKS D.C

Provider Business Mailing Address
First Line	:	3034 UNIVERSITY PKWY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2502
Country	:	US
Telephone Number	:	941-360-2428
Fax Number	:	941-360-2418

Provider Business Practice Location Address
First Line	:	3034 UNIVERSITY PKWY
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2502
Country	:	US
Telephone Number	:	941-360-2428
Fax Number	:	941-360-2418

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/08/2007

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