Provider Demographics
NPI:1902989965
Name:LAUZON, CATHERIN MARY (ARNP)
Entity Type:Individual
Prefix:
First Name:CATHERIN
Middle Name:MARY
Last Name:LAUZON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4741 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3819
Mailing Address - Country:US
Mailing Address - Phone:954-837-1066
Mailing Address - Fax:
Practice Address - Street 1:4741 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3819
Practice Address - Country:US
Practice Address - Phone:954-837-1066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN000012408363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
3342435Medicare PIN
FLP03896Medicare UPIN
3342435Medicare Oscar/Certification