Individual
LAUREN SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10047214
TX
207R00000X
Internal Medicine Physician
Q6573
TX
207RI0200X
Infectious Disease Physician
Primary
Q6573
TX
Other
Enumeration date
04/16/2013
Last updated
10/28/2020
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