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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1720370760 | NPPES |
Texas | MEDICAID | 287558505 |
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