Individual
LAUREN NICOLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 PANTHERWAY # 502, WOODWAY, TX 76712-8602
(912) 713-1501
Mailing address
10001 PANTHERWAY # 502, WOODWAY, TX 76712-8602
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227841
TX
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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