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Individual
MRS. LAUREN ELIZABETH GONZALEZ
Active
Individual
MRS. LAUREN ELIZABETH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32918
FL
2251X0800X
Orthopedic Physical Therapist
32918
FL
261QP2000X
Physical Therapy Clinic/Center
32918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32918
—
FL
Enumeration date
06/23/2020
Last updated
06/23/2020
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