Individual
LAUREN ALEXIS SKYE SEGOVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2000 MEDICAL DR, LAKEWAY, TX 78734-4200
(512) 263-4500
Mailing address
412 E WILLIAM CANNON DR APT 1023, AUSTIN, TX 78745-5773
(956) 475-4125
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
86361
TX
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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