Individual provider · Type 1 NPI

Lauren Diercks

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1356969026 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

7639 Southwestern Blvd
Dallas, TX 75225-7927

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356969026

Lauren Diercks's National Provider Identifier is 1356969026, issued on Jul 9, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Jul 9, 2020.