Individual
DR. LAUREN A MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1679 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2106
(772) 224-3090
(772) 878-6350
Mailing address
1679 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2106
(772) 224-3090
(772) 878-6350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03993
NH
122300000X
Dentist
DN20301
FL
Other
Enumeration date
07/03/2013
Last updated
01/06/2016
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