Kuykendall, Lauren Van Eldik
Kuykendall, Lauren Van Eldik is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd Mdc 41, Tampa FL 33612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Kuykendall, Lauren Van Eldik can be contacted via phone (813) 844-7412.Contact Information
Primary practice address
12901 Bruce B Downs Blvd Mdc 41
Tampa FL 33612
Phone: (813) 844-7412
Fax: (813) 974-8359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME135803 | Florida |
Profile Details
| NPI number | 1174899470 |
|---|---|
| LBN Legal business name | Kuykendall, Lauren Van Eldik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2012 |
| Last updated | Mar 31st, 2021 - about 5 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 | 1174899470 | NPPES |
| Florida | Other | JN604 | MEDICARE |
| Florida | MEDICAID | 100668000 | MEDICARE |
| Florida | Other | LJM10 | MEDICARE |
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