Bush, Lauren N
Bush, Lauren N is an individual health care provider with primary practice located at 4801 Troup Hwy Suite 800, Tyler TX 75703-2356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bush, Lauren N can be contacted via phone (903) 939-2800.Contact Information
Primary practice address
4801 Troup Hwy Suite 800
Tyler TX 75703-2356
Phone: (903) 939-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 110902 | Texas |
Profile Details
| NPI number | 1083925077 |
|---|---|
| LBN Legal business name | Bush, Lauren N |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2010 |
| Last updated | Jun 24th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083925077 | NPPES |
| Texas | MEDICAID | 149984001 |
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