Individual
LAUREN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4362 US HIGHWAY 259 N STE D, LONGVIEW, TX 75605-7674
(903) 212-7716
Mailing address
1901 MEDI PARK DR, SUITE 65, AMARILLO, TX 79106-2110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285980227
—
TX
Enumeration date
07/27/2012
Last updated
03/17/2018
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