Individual
MISS LAUREN NICOLE CUTBURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
10864 TEXAS HEALTH TRL, FORT WORTH, TX 76244-4897
(682) 212-2000
Mailing address
12025 RINGTAIL DR, FORT WORTH, TX 76244-9410
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30050012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30050012
PTCB
TX
Enumeration date
12/05/2020
Last updated
12/05/2020
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