Individual
LAUREN B HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 W HIBISCUS BLVD STE 101, MELBOURNE, FL 32901-2624
(321) 726-1600
(321) 726-1610
Mailing address
1800 W HIBISCUS BLVD STE 101, MELBOURNE, FL 32901-2624
(321) 726-1618
(321) 726-1617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462789854
TAX ID
FL
Enumeration date
02/23/2009
Last updated
01/05/2026
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