| NPI | 1033473731 |
|---|---|
| Former Name | LAUREN DIANE HOLLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2144) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 2144) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2021-09-22 |