Provider Demographics
NPI:1053513242
Name:CARTWRIGHT, LAUREN LESLIE (DMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:LESLIE
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 SW 92ND WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-8632
Mailing Address - Country:US
Mailing Address - Phone:352-379-3331
Mailing Address - Fax:
Practice Address - Street 1:217 NE FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-2981
Practice Address - Country:US
Practice Address - Phone:386-758-1068
Practice Address - Fax:386-758-2180
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17528122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist