Sederholm, Lauren Nicole

Sederholm, Lauren Nicole is an individual health care provider with primary practice located at 4407 Bee Caves Rd Ste 612 , West Lake Hills TX 78746-5285. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Sederholm, Lauren Nicole can be contacted via phone (512) 446-9486.

Contact Information

Primary practice address
4407 Bee Caves Rd Ste 612 West Lake Hills TX 78746-5285
Phone: (512) 446-9486
Fax: (512) 597-0402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07293 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA07293 Texas

Profile Details

NPI number 1720370760
LBN Legal business name Sederholm, Lauren Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2011
Last updated May 8th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720370760 NPPES
Texas MEDICAID 287558505

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