Individual
LAUREN M SPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6580 FM 78, SAN ANTONIO, TX 78244-1310
(210) 666-1212
(866) 540-2295
Mailing address
6580 FM 78, SAN ANTONIO, TX 78244-1310
(210) 666-1212
(866) 540-2295
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
341030
TX
Other
Enumeration date
11/06/2025
Last updated
11/28/2025
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