Individual
BARBARA LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 464-0420
(772) 467-0370
Mailing address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008/759400
—
FL
Enumeration date
04/20/2015
Last updated
04/20/2015
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