Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP1342632 | FL |
NPI | 1003185505 |
---|---|
Provider Name | Mrs. Deborah Cook Lauman |
First Address | Clearwater, FL 33762-4547 |
Second Address | Clearwater, FL 33762-4547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2011 |
Last Update Date | 01/07/2013 |