Provider Demographics
NPI:1801126461
Name:AUL, LAURA LEA (APRN)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEA
Last Name:AUL
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8229 JAMESON FARM RD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-8317
Mailing Address - Country:US
Mailing Address - Phone:352-574-4663
Mailing Address - Fax:352-394-8585
Practice Address - Street 1:2140 E EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-3604
Practice Address - Country:US
Practice Address - Phone:863-669-1212
Practice Address - Fax:863-666-6089
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9198380363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007323100Medicaid