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Individual

LAUREN HACKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
18934 N DALE MABRY HWY, LUTZ, FL 33548-4914
(813) 948-2679
Mailing address
10501 DOTHAM CT, TAMPA, FL 33626-2558
(954) 806-6130

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11020545
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
11020545
FL

Other

Enumeration date
08/29/2024
Last updated
03/19/2026
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