Individual
LAURA LIPUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6651 MAIN ST, HOUSTON, TX 77030-2351
(832) 826-1000
Mailing address
1314 E 34TH ST, HOUSTON, TX 77022-6408
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1171997
TX
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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