Provider Demographics
NPI:1588288609
Name:ANDRADE, LAUREN ARGUELLES
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ARGUELLES
Last Name:ANDRADE
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 1:8927 W 35TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1888
Mailing Address - Country:US
Mailing Address - Phone:954-696-0305
Mailing Address - Fax:
Practice Address - Street 1:8927 W 35TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-1888
Practice Address - Country:US
Practice Address - Phone:954-696-0305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-04
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN24912122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist