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Individual
LAUREN LEAVITT
Active
Individual
LAUREN LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-9107547
FL
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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