Individual
LAUREN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-7101
(352) 265-5911
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-0186
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME148194
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110578800
—
FL
Enumeration date
05/14/2018
Last updated
06/24/2021
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