Individual
LAUREN MUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2113
(817) 250-5698
Mailing address
4770 REGENT BLVD, IRVING, TX 75063-2445
(197) 291-6320
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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