Individual
DR. LORI BETH WASSERBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 WALLINGWOOD DR, BLDG 1, STE 212, AUSTIN, TX 78746-7874
(512) 358-0500
(512) 358-0520
Mailing address
PO BOX 27165, AUSTIN, TX 78755-2165
(512) 358-0500
(512) 358-0520
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H2890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4295756
AETNA
TX
01
—
80W550
BCBS
—
01
—
E-98496
UPIN
—
Enumeration date
09/20/2006
Last updated
12/14/2021
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