| Doctor Name: | LAURA SIRAK |
| NPI Number: | 1013306513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9295963 |
| Business Practice Address: | 1129 N Missouri Ave Lakeland, FL - 338054411 |
| Business Phone Number: | 8634138600 |
| Business Fax Number: | 8634138651 |
| Mailing Address: | 950 County Road 17a W, AVON PARK |
| State: | FL |
| Postal Code: | 338252164 |
| Phone Number: | 8634523060 |
| Fax Number: | 8634523069 |
| NPI Enumeration Date: | 01/21/2015 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9295963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |