Healthcare Provider Details

I. General information

NPI: 1205225588
Provider Name (Legal Business Name): LONE STAR NATUROPATHIOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2015
Last Update Date: 01/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 EVERETT DR SUITE 200
KYLE TX
78640-6146
US

IV. Provider business mailing address

1507 VALLEYRIDGE DR UNIT B
AUSTIN TX
78704-6047
US

V. Phone/Fax

Practice location:
  • Phone: 512-268-2768
  • Fax:
Mailing address:
  • Phone: 512-731-3218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN SANCHEZ
Title or Position: NATUROPATHIC DOCTOR
Credential: N.D.
Phone: 512-731-3218