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Individual

LAUREN WILDER REACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP-AC

Contact information

Practice address
1301 BARBARA JORDAN BLVD, AUSTIN, TX 78723-3077
(512) 628-1900
Mailing address
12413 CARDINAL FLOWER DR, AUSTIN, TX 78739-2161
(512) 897-8101

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
717326
TX

Other

Enumeration date
09/17/2013
Last updated
11/05/2020
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