Lauren Archer, MD

Individual provider Active NPI Plastic Surgery Physician · Maitland, FL

NPI 1194733766 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1194733766
Entity type
Individual (NPI type 1)
Primary specialty
Plastic Surgery Physician 208200000X
License
ME96410 (FL)
Practice address
2600 Lake Lucien Dr Ste 180
Maitland, FL 32751-7235
Phone
(407) 875-2080
Fax
(407) 875-0518
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME96410 FL Yes

Addresses

Primary practice location

2600 Lake Lucien Dr Ste 180
Maitland, FL 32751-7235

Mailing address

4730 N Habana Ave Ste 300
Tampa, FL 33614-7148
Phone (813) 875-7333

Other providers in Maitland, FL

All providers in Maitland, FL · Plastic Surgery Physician in Florida

Sources for this page

Verify at the official NPI Registry.