Doctor Name: | LAUREN C. MEADOR |
NPI Number: | 1003137548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C. |
License Number: | PA9104472 |
Business Practice Address: | 1400 S Orange Ave Orlando, FL - 328062134 |
Business Phone Number: | 4076483800 |
Business Fax Number: | |
Mailing Address: | 1400 S Orange Ave, ORLANDO |
State: | FL |
Postal Code: | 328062134 |
Phone Number: | 4076483800 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2010 |
NPI Last Update Date: | 07/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9104472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |