Provider Demographics
NPI:1407126857
Name:VIEGO, LAUREN DANIELLE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:DANIELLE
Last Name:VIEGO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14621 BALGOWAN RD APT 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6467
Mailing Address - Country:US
Mailing Address - Phone:305-582-7923
Mailing Address - Fax:
Practice Address - Street 1:10700 N KENDALL DR FL 2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1437
Practice Address - Country:US
Practice Address - Phone:305-270-7999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9259575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily