Individual
LAURIE JANE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-2911
Mailing address
6651 MAIN ST, STE F320, HOUSTON, TX 77030-2353
(832) 826-7313
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L2463
TX
207VE0102X
Reproductive Endocrinology Physician
L2463
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146950402
—
TX
05
—
146950405
—
TX
01
—
146950406
CSHCN TPI
TX
01
—
8H3605
BCBS
TX
Enumeration date
07/06/2006
Last updated
05/17/2022
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