=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356605711
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LAUREN ORZECHOWSKI PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2012
-----------------------------------------------------
Last Update Date | 08/30/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 119 W VAN BUREN AVE STE 3
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-6400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-446-0136
-----------------------------------------------------
Fax | 956-265-1284
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 119 W VAN BUREN AVE STE 3
-----------------------------------------------------
City | HARLINGEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78550-6400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-446-0136
-----------------------------------------------------
Fax | 508-832-0859
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | PA13852
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | PA4415
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------