Individual
MS. INGRID LAURINAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1361 13TH AVE S, SUITE 170A, JACKSONVILLE BEACH, FL 32250
(904) 249-4456
(904) 249-7703
Mailing address
1361 13TH AVE S, SUITE 170A, JACKSONVILLE BEACH, FL 32250-3233
(904) 249-4456
(904) 249-7703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004336
MI
363AM0700X
Medical Physician Assistant
9107329
FL
Other
Enumeration date
05/16/2006
Last updated
07/16/2018
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