Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | ||
N | 222Z00000X | Podiatrist | ||
N | 224P00000X | Prosthetist | ||
Y | 225000000X | Orthotic Fitter |
NPI | 1578927760 |
---|---|
Provider Name | Lauren Robertson |
First Address | Houston, TX 77054-1110 |
Second Address | Houston, TX 77054-1110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2016 |
Last Update Date | 13/04/2016 |