Dr Lauzurique PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR LAUZURIQUE PHD PA

Practice address

209 Cobalt Dr
Kissimmee, FL 34758-3006

Phone

(787) 528-5560

NPI assigned

Jan 13, 2023

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen Lauzurique Gonzalez, PHDNPI 1598089229

Title

President

Phone

(787) 528-5560

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen R Lauzurique Gonzalez, PH.D.

  • Behavior Analyst
  • Fort Lauderdale, FL
  • NPI 1598089229
  NPD Authorized official

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1215641295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COBALT DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583006",
            "telephone_number": "787-528-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COBALT DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583006",
            "telephone_number": "787-528-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAUZURIQUE PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "LAUZURIQUE GONZALEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-528-5560",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.