Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP144498 | TX |
NPI | 1003491010 |
---|---|
Provider Name | Mrs. Lauren Claunch |
First Address | Webster, TX 77598-8662 |
Second Address | Webster, TX 77598-4722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2021 |
Last Update Date | 26/07/2021 |