MEDICARE: LAUREN CRAWFORD AUD

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	80846	TX

General Provider Information

NPI Number	:	1831611797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CRAWFORD AUD

Provider Business Mailing Address
First Line	:	400 W LBJ FWY STE 360
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3764
Country	:	US
Telephone Number	:	972-402-8404
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W LBJ FWY STE 360
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3764
Country	:	US
Telephone Number	:	972-402-8404
Fax Number	:

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

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	07/21/2022

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Directions to “ LAUREN CRAWFORD AUD” Practice Location

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