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Organization

LAUREN MICHELSEN, D.O., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAUREN MICHELSEN D.O. (PRESIDENT)
(972) 335-1490
Entity
Organization

Contact information

Practice address
4461 COIT RD, SUITE 401, FRISCO, TX 75035-0521
(972) 335-1490
(972) 335-1491
Mailing address
4461 COIT RD, SUITE 401, FRISCO, TX 75035-0521
(972) 335-1490
(972) 335-1491

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L7045
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0065PA
BCBS
TX
05
191459001
TX
01
78212278
AETNA
TX
Enumeration date
03/30/2009
Last updated
03/30/2009
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