Most Relevant Information
Provider Data
| NPI Number: | 1003367129 |
| Provider Name: | LAURYN LAX |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: | 2258 |
Most Important Dates
| Enumeration Date: | 10/24/2016 |
| Last Updated: | 10/24/2016 |
Provider Practice Location
2324 E CESAR CHAVEZ ST
AUSTIN
TX
787024604
Practice Location Phone/Fax
| Phone: | 5122307947 |
| Fax: |
Provider Mailing Location
3905 CAL RODGERS ST
AUSTIN
TX
787235457
Provider Mailing Phone/Fax
| Phone: | 5122307947 |
| Fax: |