Laura Erika Dermenjian in The Villages - Physician Assistant
Laura Erika Dermenjian - NPI 1255316907
Laura Erika Dermenjian is a Physician Assistant in The Villages, Florida. Laura Erika Dermenjian practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Laura Erika Dermenjian is 1255316907. The last update date is 2020-08-18.
Laura Erika Dermenjian's current location address is 1950 Laurel Manor Dr, The Villages, Florida. You can contact this provider via phone number 3527516565 and fax number 3522057777. The mailing address for Laura Erika Dermenjian is 1950 Laurel Manor Dr, The Villages, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Erika Dermenjian |
|---|---|
| Address | 1950 Laurel Manor Dr, The Villages, Florida |
| Phone Number | 3527516565 |
| Fax Number | 3522057777 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1255316907 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2020-08-18 |
Provider Mailing Address Detail
| Address | 1950 Laurel Manor Dr |
|---|---|
| City | The Villages |
| State | Florida (FL) |
| Post Code | 321625603 |
| Phone Number | 3527516565 |
| Fax Number | 3522057777 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9101262 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290911100 | FL | -- |
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What is the Laura Erika Dermenjian's 1255316907?
The Laura Erika Dermenjian's NPI (National Provider Identifier) Number is 1255316907. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Laura Erika Dermenjian's specialty and taxonomy code?
The Laura Erika Dermenjian's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Laura Erika Dermenjian, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Laura Erika Dermenjian is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Laura Erika Dermenjian's 1255316907 issued?
The Laura Erika Dermenjian's 1255316907 was issued on 2005-12-14.
When was the information pertaining to Laura Erika Dermenjian most recently updated or revised?
The details related to Laura Erika Dermenjian, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-18.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI