Laurie Fashakin, PA

NPI #1275588063 in Maitland, Florida

Provider Information

NPI Number: 1275588063
Entity Type: Individual
Name: Laurie Fashakin, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 23, 2006
Last Updated: Aug 18, 2014

Practice Location

Address: 800 N MAITLAND AVE STE 202
City: Maitland
State: Florida
ZIP Code: 32751-4499
Phone: (407) 389-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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