Individual
LAUREN N TOBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1403 MEDICAL PLAZA DR STE 102, SANFORD, FL 32771-1047
(407) 321-4500
Mailing address
1403 MEDICAL PLAZA DR STE 102, SANFORD, FL 32771-1047
(407) 321-4500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9116932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295373710
—
WI
Enumeration date
12/16/2019
Last updated
02/21/2023
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