Female

Lauren B. Harris PA-C

Medical Physician Assistant in Melbourne, FL(View on Map)

Full Name

Lauren B Harris PA-C

NPI Number

1871733428

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/23/2009

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9110921

Contact
Information

Purpose

Mailing
Location

Address

19964 E HILLTOP RD
1800 W HIBISCUS BLVD STE 101

City

Parker
Melbourne

State

CO
FL

Postal Code

80134-7315
32901-2624

Country

US
US

Telephone Number

(303) 841-2212
(321) 726-1600

Identifiers

Identifier

462789854

Identifier State

FL

Identifier Issuer

TAX ID

Health Information Exchange

Endpoint Type

FHIR

Endpoint

Melbourne

Endpoint Description

Unknown

Use

Health Information Exchange (HIE)

Content Type

Unknown

Affiliation

N

Endpoint Location

1800 W Hibiscus Blvd Ste 101Melbourne, FL329012624US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/30/2022

Provider Address

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