NPI 1003371618

Hae S Larens

Practitioner Prosthetic/Orthotic Supplier Daytona Beach, FL

Practice location

Address: 120 S Beach St, Daytona Beach, FL 32114-4402
Phone: (386) 258-8920

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence 74-8012445996-9 (FL)

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Registry record

NPI: 1003371618
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2019
Record last updated: 7 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.