Individual
LAUREN LEEFLANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Mailing address
356 E MIDWAY RD, FORT PIERCE, FL 34982-7148
(772) 464-9746
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9109766
FL
Other
Enumeration date
09/09/2016
Last updated
11/11/2016
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