Lavenbarg, Teri Ann

Lavenbarg, Teri Ann is an individual health care provider with primary practice located at 130 Health Park Blvd , St Augustine FL 32086-5776. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lavenbarg, Teri Ann can be contacted via phone (904) 826-3469.

Contact Information

Primary practice address
130 Health Park Blvd St Augustine FL 32086-5776
Phone: (904) 826-3469
Fax: (904) 808-4608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 14-55117-032 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11004784 Florida

Profile Details

NPI number 1932232121
LBN Legal business name Lavenbarg, Teri Ann
Credentials ARNP-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Feb 19th, 2021 - about 4 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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