Individual
MRS. LAUREN MARISA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-4610
Mailing address
414 MAGNOLIA BLOSSOM, LEAGUE CITY, TX 77573-3797
(409) 526-4023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP141575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400447503
—
TX
01
—
400447504
C SHCN TPI
—
Enumeration date
06/18/2019
Last updated
06/22/2020
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