Individual
DR. LAUREN CARY SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 657-5222
Mailing address
5417 LAKE TRAIL CT, SAN ANGELO, TX 76904-8780
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J1387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098711704
—
TX
Enumeration date
02/14/2006
Last updated
07/08/2007
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