Provider Demographics
NPI:1215098066
Name:HOUTS, LAUREEN JOAN
Entity type:Individual
Prefix:
First Name:LAUREEN
Middle Name:JOAN
Last Name:HOUTS
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 1:38827 BERTA DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-1821
Mailing Address - Country:US
Mailing Address - Phone:813-780-8869
Mailing Address - Fax:813-780-8869
Practice Address - Street 1:38827 BERTA DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1821
Practice Address - Country:US
Practice Address - Phone:813-780-8869
Practice Address - Fax:813-780-8869
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist