Individual
LAUREN MACELLEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1693
(910) 603-2216
Mailing address
1201 NW 16TH ST, MIAMI, FL 33125-1693
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME130624
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2012
Last updated
02/03/2017
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