Individual
LAURYN LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2324 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4604
(512) 230-7947
Mailing address
3905 CAL RODGERS ST, AUSTIN, TX 78723-5457
(512) 230-7947
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
2258
TX
225X00000X
Occupational Therapist
Primary
116320
TX
225XE0001X
Environmental Modification Occupational Therapist
116320
TX
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
116320
TX
225XH1300X
Human Factors Occupational Therapist
116320
TX
225XM0800X
Mental Health Occupational Therapist
116320
TX
225XN1300X
Neurorehabilitation Occupational Therapist
116320
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
116320
TX
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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