Individual
LAUREN RODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5450 CLEARFORK MAIN ST STE 200, FORT WORTH, TX 76109-3562
(817) 789-6770
Mailing address
14657 MARTIN CREEK CV, TROPHY CLUB, TX 76262-3482
(972) 978-8378
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1022977
TX
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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