Dr. Lauren Beth Shack
Periodontist
685 Royal Palm Beach Blvd Suite #203
Royal Palm Beach
, Florida 33411
Dr. Lauren Beth Shack
Periodontist
685 Royal Palm Beach Blvd Suite #203
Royal Palm Beach
, Florida 33411
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Lauren Beth Shack
- 685 Royal Palm Beach Blvd Suite #203
- Royal Palm Beach, FL
- Zip : 33411
- Phone :
Second Address
- Dr. Lauren Beth Shack
- 685 Royal Palm Beach Blvd Suite #203
- Royal Palm Beach, FL
- Zip : 33411
- Phone : (561) 792-1212
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | ON0014377 | FL |
National Provider Identifier
| NPI | 1043436447 |
|---|---|
| Provider Name | Dr. Lauren Beth Shack |
| First Address | Royal Palm Beach, FL 33411 |
| Second Address | Royal Palm Beach, FL 33411 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 14/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.