Cunningham Laube, Mary J

Cunningham Laube, Mary J is an individual health care provider with primary practice located at 550 E Dixie Ave , Leesburg FL 34748-5925. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cunningham Laube, Mary J can be contacted via phone (352) 323-2273.

Contact Information

Primary practice address
550 E Dixie Ave Leesburg FL 34748-5925
Phone: (352) 323-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2157532 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN2157532 Florida

Profile Details

NPI number 1699706010
LBN Legal business name Cunningham Laube, Mary J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699706010 NPPES
Florida MEDICAID 303842400
Florida Other Y0158

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