Individual
MS. LAUREN E IALENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
(954) 265-8869
Mailing address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
(954) 265-5324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95089320
CA
163W00000X
Registered Nurse
RN9287386
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
95000506
CA
367500000X
Certified Registered Nurse Anesthetist
ARNP9287386
FL
Other
Enumeration date
12/10/2014
Last updated
03/10/2021
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