Harrell, Laurie Lenee

Harrell, Laurie Lenee is an individual health care provider with primary practice located at 926 Great Pond Dr Ste 1000 , Altamonte Springs FL 32714-7244. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Harrell, Laurie Lenee can be contacted via phone (407) 862-0444.

Contact Information

Primary practice address
926 Great Pond Dr Ste 1000 Altamonte Springs FL 32714-7244
Phone: (407) 862-0444
Fax: (407) 862-2771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN18391 Florida

Profile Details

NPI number 1568625846
LBN Legal business name Harrell, Laurie Lenee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Apr 24th, 2013 - about 12 years ago

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 1568625846 NPPES
Florida MEDICAID 000323300

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