Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | AP135411 | TX |
NPI | 1225541162 |
---|---|
Provider Name | Lauren Elizabeth New |
First Address | Dallas, TX 75204-1668 |
Second Address | Dallas, TX 75235-7709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2017 |
Last Update Date | 10/02/2020 |