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Lauren Michelle Kissock, PA-S
Adult Health Nurse Practitioner in Austin, Texas
NPI 1558994459

Lauren Michelle Kissock is an Adult Health Nurse Practitioner based in Austin, TX and is specialized in Adult Health. Lauren Michelle Kissock practices in Austin, TX and has the professional credentials of PA-S. The NPI Number for Lauren Michelle Kissock is 1558994459 and holds a License No. PA14137 (Texas).

The current practice location address for Lauren Michelle Kissock is 1010 W 40Th St, Austin, TX and can be reached out via phone at 512-459-8753 and via fax at 512-483-6807.

Location: 1010 W 40Th St, Austin, TX, 78756-4010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558994459
Provider Name
Lauren Michelle Kissock
Credential
PA-S
Provider Entity Type
Individual
Gender
Female
Address
1010 W 40Th St, Austin, TX, 78756-4010
Phone Number
512-459-8753
Fax Number
512-483-6807
Provider Enumeration Date
02/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4192098 05 TX
institution
Provider Business Practice Location Address Details
Address
1010 W 40Th St
City
Austin
State
Texas
Zip
78756-4010
Phone Number
512-459-8753
Fax Number
512-483-6807
person
Provider Business Mailing Address Details
Address
1010 W 40Th St
City
Austin
State
Texas
Zip
78756-4010
Phone Number
512-459-8753
Fax Number
512-483-6807
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
PA14137 (Texas)
Definition
Definition to come...
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