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Provider Information for 1154750115


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LAUREN MICHELLE FRIEDMAN M.S.


Sex: Female

NPI: 1154750115
Last Updated: 2013-11-10
Certification Date:

Details

NameValue
NPI1154750115
Enumeration Date2013-11-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3763 EVANS AVE
FORT MYERS, FL 33901-9302
United States

Phone: | Fax:
 
Primary Practice Address 10140 DEER RUN FARMS RD
FORT MYERS, FL 33966-1045
United States

Phone: 239-275-4242 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLF635533838480