NPI 1477151884

Joel Laurenceau

Practitioner Contractor Port Saint Lucie, FL

Practice location

Address: 2561 SW Grotto Cir, Port Saint Lucie, FL 34953-2927
Phone: (786) 333-7288

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1477151884
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2020
Record last updated: 16 Oct 2020

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.