Individual
DR. LAURIE LENEE HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
926 GREAT POND DR STE 1000, ALTAMONTE SPRINGS, FL 32714-7244
(407) 862-0444
(407) 862-2771
Mailing address
100 S EOLA DR UNIT 1710, ORLANDO, FL 32801-6602
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN18391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000323300
—
FL
Enumeration date
07/07/2008
Last updated
04/24/2013
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