Organization
DR LAUZURIQUE PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LAUZURIQUE GONZALEZ PHD (PRESIDENT)
(787) 528-5560
Entity
Organization
Contact information
Practice address
209 COBALT DR, KISSIMMEE, FL 34758-3006
(787) 528-5560
Mailing address
209 COBALT DR, KISSIMMEE, FL 34758-3006
(787) 528-5560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/23/2024
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