Provider Demographics
NPI:1306839204
Name:LAURENT, CHRISTOPHER L (NP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:L
Last Name:LAURENT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 CHESAPEAKE CIR STE 1
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-8572
Mailing Address - Country:US
Mailing Address - Phone:603-915-6962
Mailing Address - Fax:
Practice Address - Street 1:7205 CHESAPEAKE CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-8572
Practice Address - Country:US
Practice Address - Phone:603-915-6962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029034363LF0000X
NH058765-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P59793Medicare UPIN