Most Relevant Information
Provider Data
| NPI Number: | 1003480294 |
| Provider Name: | LAURA LEE HARTMAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9113949 |
Most Important Dates
| Enumeration Date: | 05/13/2021 |
| Last Updated: | 05/13/2021 |
Provider Practice Location
1905 CLINT MOORE RD STE 309
BOCA RATON
FL
334962661
Practice Location Phone/Fax
| Phone: | 5619888988 |
| Fax: | 5619121804 |
Provider Mailing Location
1905 CLINT MOORE RD STE 309
BOCA RATON
FL
334962661
Provider Mailing Phone/Fax
| Phone: | 5619888988 |
| Fax: | 5619121804 |