Most Relevant Information
Provider Data
| NPI Number: | 1003378209 |
| Provider Name: | LAUREN ELIZONDO PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1309186 |
Most Important Dates
| Enumeration Date: | 04/05/2019 |
| Last Updated: | 04/05/2019 |
Provider Practice Location
125 W PARKWOOD AVE
FRIENDSWOOD
TX
775465420
Practice Location Phone/Fax
| Phone: | 8325694665 |
| Fax: |
Provider Mailing Location
605 AVENUE J
SOUTH HOUSTON
TX
775874707
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |