MEDICARE: LAUREN NIXON

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	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker	128192	IA

General Provider Information

NPI Number	:	1336848175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN NIXON

Provider Business Mailing Address
First Line	:	831 GORDON DR
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51101-1829
Country	:	US
Telephone Number	:	712-262-2922
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 FLINDT DR
Second Line	:
City	:	STORM LAKE
State	:	IA
Zip	:	50588-3208
Country	:	US
Telephone Number	:	800-242-5101
Fax Number	:

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

Provider Enumeration Date	:	03/01/2023
Last Update Date	:	03/07/2025

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Directions to “ LAUREN NIXON ” Practice Location

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