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Individual

MR. ANDREW LOURENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
400 COLONNADE DR STE 160, PONTE VEDRA, FL 32081-6236
(904) 824-1020
(904) 390-7503
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP137614
TX
363L00000X
Nurse Practitioner
Primary
APRN11025441
FL
363LF0000X
Family Nurse Practitioner
AP137614
TX
363LF0000X
Family Nurse Practitioner
APRN11025441
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP137614
TBON
TX
Enumeration date
06/14/2018
Last updated
09/11/2025
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