Individual provider Active NPI

Lauren Victoria Larocque

  • Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1134717234
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9116612 Issued in FL
Practice address
14530 S Military TRL
Delray Beach, FL 33484-3706
Phone
(561) 381-0260
NPI assigned
Jan 5, 2021
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9116612 FL Primary

Addresses

Primary practice location

14530 S Military TRL
Delray Beach, FL 33484-3706

Mailing address

2217 NE 15TH Ave
Wilton Manors, FL 33305-2308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9116612FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Expressdocs2Llc CurrentSince Feb 11, 2024 Accepting new patients
Express Docs, LLC PastSince Dec 28, 2022 Accepting new patients
Delrays Best Docs, LLC PastSince Jul 2, 2019 Accepting new patients

Locations

14530 S Military Trl
Delray Beach, FL 33484
Phone (561) 381-0260

14530 S Military Trl
Ste A1
Delray Beach, FL 33484
Phone (561) 381-0260

14530 S Military Trl
Ste A4
Delray Beach, FL 33484

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1134717234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 NE 15TH AVE",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333052308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14530 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334843706",
            "telephone_number": "561-381-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCQUE",
        "first_name": "LAUREN",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9116612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.