MEDICARE: LAUREN SEWELL AU.D.

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	231H00000X	Audiologist

General Provider Information

NPI Number	:	1184313736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN SEWELL AU.D.

Provider Business Mailing Address
First Line	:	13500 LYNDHURST ST APT 1060
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6083
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9010 N LAKE CREEK PKWY BLDG 2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6217
Country	:	US
Telephone Number	:	737-707-6737
Fax Number	:

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

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	12/05/2024

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