Provider Demographics
NPI:1033486766
Name:HENDRIX, LAUREN SUSAN (DO)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:SUSAN
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3030 NORTH ROCKY POINT DRIVE WEST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5906
Mailing Address - Country:US
Mailing Address - Phone:813-289-6597
Mailing Address - Fax:813-289-6592
Practice Address - Street 1:3030 NORTH ROCKY POINT DRIVE WEST
Practice Address - Street 2:SUITE 670
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5906
Practice Address - Country:US
Practice Address - Phone:813-289-6597
Practice Address - Fax:813-289-6592
Is Sole Proprietor?:No
Enumeration Date:2011-11-23
Last Update Date:2015-04-15
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Provider Licenses
StateLicense IDTaxonomies
FLUO2721208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice