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Individual

LAURALYNN CARRASQUILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPECIALIST

Contact information

Practice address
250 NW PEACOCK BLVD STE 2, PORT ST LUCIE, FL 34986-2205
(786) 586-8155
Mailing address
7767 NW GREENBANK CIR, PORT ST LUCIE, FL 34987-3040
(786) 586-8155

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL0212515
FL

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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