| Rebecca Lauren Aprn, Llc | |
|
5512 18th St Ne Saint Petersburg FL 33703-1731 | |
| (813) 453-7931 | |
| Not Available |
| Full Name | Rebecca Lauren Aprn, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5512 18th St Ne, Saint Petersburg, Florida |
| Authorized Official Name and Position | Rebecca Ann Lauren (APRN) |
| Authorized Official Contact | 8134537931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Lauren Aprn, Llc 5512 18th St Ne Saint Petersburg FL 33703-1731 Ph: (813) 453-7931 | Rebecca Lauren Aprn, Llc 5512 18th St Ne Saint Petersburg FL 33703-1731 Ph: (813) 453-7931 |
| NPI Number | 1053979617 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 05/30/2019 |
| Medicare PECOS PAC ID | 0042545972 |
|---|---|
| Medicare Enrollment ID | O20190715000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053979617 | NPI | - | NPPES |
| ATN556765 | Medicaid | FL |
| Provider Name | Rebecca Ann Lauren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235557323 PECOS PAC ID: 7810120680 Enrollment ID: I20140501000265 |
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