Individual
LAKEEDA HAWLEY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(512) 361-1715
Mailing address
1408 OAK HOLLOW DR, WOODWAY, TX 76712-2228
(254) 339-6062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
710914
TX
171400000X
Health & Wellness Coach
—
TX
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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