Individual provider · Type 1 NPI

Lawrie Carpenter-Staples

Student in an Organized Health Care Education/Training Program · Daytona Beach, FL

NPI number 1578422382 Active

Practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Call (386) 425-4000 Map

Mailing address

183 Edgewater Cir
Sanford, FL 32773-5652

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578422382

Lawrie Carpenter-Staples's National Provider Identifier is 1578422382, issued on Jan 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jan 17, 2026.