Healthcare Provider Details

I. General information

NPI: 1760246508
Provider Name (Legal Business Name): LAUREN ELIZABETH BISCHOFF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2024
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 W SAN ANTONIO ST
LOCKHART TX
78644-2421
US

IV. Provider business mailing address

1009 W SAN ANTONIO ST
LOCKHART TX
78644-2421
US

V. Phone/Fax

Practice location:
  • Phone: 512-376-5247
  • Fax: 512-376-6252
Mailing address:
  • Phone: 512-376-5247
  • Fax: 512-376-6252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1152375
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1152375
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: