Provider Demographics
NPI:1023785003
Name:DURE, LAURENT
Entity type:Individual
Prefix:
First Name:LAURENT
Middle Name:
Last Name:DURE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 WOODS ISLAND CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-1490
Mailing Address - Country:US
Mailing Address - Phone:160-724-0347
Mailing Address - Fax:
Practice Address - Street 1:6717 WOODS ISLAND CIR APT 303
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-1490
Practice Address - Country:US
Practice Address - Phone:160-724-0347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker