Individual
LAUREN MECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
750 8TH AVE FL 6, FORT WORTH, TX 76104-2515
(682) 303-0376
(682) 303-0377
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP126012
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP126012
TX
Other
Enumeration date
04/01/2014
Last updated
04/29/2021
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