MEDICARE: LAUREN E.L. NEAL RN, BSN, WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	698332	TX

General Provider Information

NPI Number	:	1376790808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN E.L. NEAL RN, BSN, WHNP

Provider Business Mailing Address
First Line	:	2912 KRAFT ST
Second Line	:	SUITE 30
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5410
Country	:	US
Telephone Number	:	817-640-0771
Fax Number	:

Provider Business Practice Location Address
First Line	:	2912 KRAFT ST
Second Line	:	SUITE 30
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5410
Country	:	US
Telephone Number	:	817-640-0771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	08/27/2008

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