Provider Demographics
NPI:1992000665
Name:WORKMAN, LAURIE L (ARNP)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:L
Last Name:WORKMAN
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 BELLARIA CT
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-9774
Mailing Address - Country:US
Mailing Address - Phone:863-508-8562
Mailing Address - Fax:
Practice Address - Street 1:172 BELLARIA CT
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-9774
Practice Address - Country:US
Practice Address - Phone:863-508-8562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1614722363L00000X
FL1614722363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health