MEDICARE: LAUREN NICOLE RICHARDS PT, DPT

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	390200000X	Student in an Organized Health Care Education/Training Program
2	225100000X	Physical Therapist	PT 29366	FL

General Provider Information

NPI Number	:	1790094894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN NICOLE RICHARDS PT, DPT

Provider Business Mailing Address
First Line	:	1762 SEA LARK LN
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-7406
Country	:	US
Telephone Number	:	850-204-8030
Fax Number	:	850-204-8031

Provider Business Practice Location Address
First Line	:	1762 SEA LARK LN
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-7406
Country	:	US
Telephone Number	:	850-204-8030
Fax Number	:	850-204-8031

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

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	10/28/2016

Similar Medicare Providers

1487540811 — REAGAN WILLIAMSON
Practice Location Address:

1762 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-204-8030
Practice Fax:

1083933352 — MRS. CHRISTINA GRAY WEEKS M.S.
Practice Location Address:

1758 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-521-0242
Practice Fax:

1316283385 — CARING HEARTS OF THE EMERALD COAST LLC
Practice Location Address:

1752 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-684-3257
Practice Fax: 866-467-4424

1417385824 — CLAIRE ELENA BYRNE
Practice Location Address:

1762 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-204-8030
Practice Fax: 850-204-8031

1801210455 — BOBBI GINN
Practice Location Address:

1758 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-684-1289
Practice Fax:

1689043648 — BRITANY LABEREE
Practice Location Address:

1758 SEA LARK LN
NAVARRE, FL
32566-7406

Practice Phone: 850-521-0242
Practice Fax: 850-521-1973

Directions to “ LAUREN NICOLE RICHARDS PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.