Individual
LAUREN ELIZABETH INNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 BIZZELL ST, COLLEGE STATION, TX 77843-0001
(512) 775-3057
Mailing address
1198 JONES BUTLER RD APT 3014, COLLEGE STATION, TX 77840-6450
(512) 775-3057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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