Provider Demographics
NPI:1467892026
Name:AUGUSTIN, LAUSANE (MHA)
Entity Type:Individual
Prefix:MS
First Name:LAUSANE
Middle Name:
Last Name:AUGUSTIN
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6712 HERITAGE GRANDE
Mailing Address - Street 2:APT 2106
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7906
Mailing Address - Country:US
Mailing Address - Phone:561-577-1924
Mailing Address - Fax:
Practice Address - Street 1:1551 FORUM PL # 400DE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2319
Practice Address - Country:US
Practice Address - Phone:561-712-8821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-27
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator