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Individual

LAURA EISENBERG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195
Mailing address
3215 STECK AVE, SUITE 200, AUSTIN, TX 78757-7566
(512) 476-3556
(512) 476-0195

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
254886
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85N614
BLUE CROSS
TX
Enumeration date
08/09/2005
Last updated
07/08/2007
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