Individual
MISS LOA LAEL BORCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CPNP-PC
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 301, AUSTIN, TX 78723-3077
(512) 324-0919
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 301, AUSTIN, TX 78723-3077
(512) 324-0918
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
535882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138638527
—
TX
05
—
138638528
—
TX
05
—
138638529
—
TX
05
—
138638530
—
TX
Enumeration date
10/25/2006
Last updated
02/27/2020
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