Gamble, Lauren Nicole
Gamble, Lauren Nicole is an individual health care provider with primary practice located at 2240 Gulf Fwy S , League City TX 77573. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gamble, Lauren Nicole can be contacted via phone (832) 505-1600.Contact Information
Primary practice address
2240 Gulf Fwy S
League City TX 77573
Phone: (832) 505-1600
Fax: (281) 309-0419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085.007056 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA09509 | Texas |
Profile Details
| NPI number | 1790189561 |
|---|---|
| LBN Legal business name | Gamble, Lauren Nicole |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2014 |
| Last updated | Jun 26th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790189561 | NPPES |
| Texas | Other | 8525NU | BCBS |
| Texas | MEDICAID | 342568802 | BCBS |
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