Individual
LAUREN MCELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4727 17TH ST, BACLIFF, TX 77518-2748
(832) 226-1274
Mailing address
4727 17TH ST, BACLIFF, TX 77518-2748
(832) 226-1274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
905782
TX
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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