Most Relevant Information
Provider Data
| NPI Number: | 1003448739 |
| Provider Name: | LAUREN KATE NIKOLICH CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 1000929 |
Most Important Dates
| Enumeration Date: | 02/11/2020 |
| Last Updated: | 08/11/2020 |
Provider Practice Location
1500 CITYWEST BLVD STE 300
HOUSTON
TX
770422549
Practice Location Phone/Fax
| Phone: | 9727155000 |
| Fax: |
Provider Mailing Location
PO BOX 840853
DALLAS
TX
752840853
Provider Mailing Phone/Fax
| Phone: | 9727155000 |
| Fax: |