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Lauren Ashley Chin

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

92 W Miller St, Orlando, FL 32806-2032

PECOS Enrollment

This provider is enrolled in PECOS as LAUREN CHIN.

Based on the most recent information from CMS, provider Lauren Ashley Chin is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1851841142
Provider Type
Individual
Full Name
Chin, Lauren Ashley
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/11/2016
Last Updated
10/21/2016

Contact Information

Practice Location

92 W Miller St, Orlando, FL 32806-2032

(407) 841-5139

Unlisted Fax

Mailing Location

11 S Osceola Ave Apt 3102, Orlando, FL 32801-2861

(813) 404-5186

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9328392 Florida

Lauren Ashley Chin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bristol Cruz, Liana Marie

Cooper, Lesley Allen

Williams, Caitlin C

Benyehuda, Michaelle

Hines, Alison

Small, Diana

Chang, Dawn Shorey

Lim, Leilani

Izoita, Elena

Gamble-Hart, Kristy Shinean