Individual
MS. LAUREN MARGARET BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD/N
Contact information
Practice address
1222 S ORANGE AVE, 3RD FLOOR, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Mailing address
1222 S ORANGE AVE, 3RD FLOOR, ORLANDO, FL 32806-1215
(904) 534-8675
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND 6059
FL
363A00000X
Physician Assistant
PA9110368
FL
363AM0700X
Medical Physician Assistant
Primary
PA9110368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020903900
—
FL
01
—
ND 6059
RD LICENSE NUMBER
FL
Enumeration date
12/04/2012
Last updated
07/21/2022
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