Individual
LAUREN MICHELLE KISSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807
Mailing address
1010 W 40TH ST, AUSTIN, TX 78756-4010
(512) 459-8753
(512) 483-6807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA14137
TX
363AS0400X
Surgical Physician Assistant
Primary
PA14137
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
PA14137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4192098
—
TX
Enumeration date
02/19/2020
Last updated
01/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us