Healthcare Provider Details

I. General information

NPI: 1699042887
Provider Name (Legal Business Name): LAUREN LIIKALA APRN, ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 WALNUT HILL LN
DALLAS TX
75231-4402
US

IV. Provider business mailing address

2204 BROOKLAKE ST W
DENTON TX
76207-1623
US

V. Phone/Fax

Practice location:
  • Phone: 214-345-8480
  • Fax:
Mailing address:
  • Phone: 517-242-0233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number768223
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP121095
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: