Perez, Lauren Marisa
Perez, Lauren Marisa is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-5302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Perez, Lauren Marisa can be contacted via phone (409) 772-4610.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-5302
Phone: (409) 772-4610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP141575 | Texas |
Profile Details
| NPI number | 1811557119 |
|---|---|
| LBN Legal business name | Perez, Lauren Marisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2019 |
| Last updated | Jun 22nd, 2020 - about 6 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 | 1811557119 | NPPES |
| Texas | MEDICAID | 400447503 | |
| Texas | Other | 400447504 |
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