| NPI | 1134893043 |
|---|---|
| Former Name | LAUREN METZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 37625) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX ETN851) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-11-16 |