Housworth, Laurie Ann
Housworth, Laurie Ann is an individual health care provider with primary practice located at 8900 Se 165Th Mulberry Lane The Villages Va Outpatient Clinic, The Villages FL 32162. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Housworth, Laurie Ann can be contacted via phone (352) 674-5000.Contact Information
Primary practice address
8900 Se 165Th Mulberry Lane The Villages Va Outpatient Clinic
The Villages FL 32162
Phone: (352) 674-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012509 | Georgia |
| Dental Providers / General Practice | 1223G0001X | HAD7 | Florida |
Profile Details
| NPI number | 1023088085 |
|---|---|
| LBN Legal business name | Housworth, Laurie Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jun 17th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023088085 | NPPES |
| Florida | MEDICAID | 0767131-00 |
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