| Doctor Name: | MS. LAURA ELIZABETH GREEN |
| NPI Number: | 1013057801 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA9104085 |
| Business Practice Address: | 1511 Sw 1st Ave Ocala, FL - 344716505 |
| Business Phone Number: | 3528678311 |
| Business Fax Number: | 3528671053 |
| Mailing Address: | Po Box 3130, OCALA |
| State: | FL |
| Postal Code: | 344783130 |
| Phone Number: | 3528678311 |
| Fax Number: | 3528671053 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA9104085 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |