Individual
LAUREN MICHELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4461 COIT RD, SUITE 401, FRISCO, TX 75035-0521
(972) 335-1490
Mailing address
4461 COIT RD, SUITE 401, FRISCO, TX 75035-0521
(972) 335-1490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L7045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L7045
STATE MEDICAL LICENSE
TX
Enumeration date
08/28/2006
Last updated
08/06/2009
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