Provider Demographics
NPI:1700764883
Name:LAUSE, CARA
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:LAUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 MONTICELLO GARDENS PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4732
Mailing Address - Country:US
Mailing Address - Phone:636-432-8072
Mailing Address - Fax:
Practice Address - Street 1:4216 MONTICELLO GARDENS PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4732
Practice Address - Country:US
Practice Address - Phone:636-432-8072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer