Provider Demographics
NPI:1003269580
Name:MORTON, LAUREN HAILEY (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:HAILEY
Last Name:MORTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2078
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-6156
Mailing Address - Country:US
Mailing Address - Phone:940-433-2151
Mailing Address - Fax:940-433-2366
Practice Address - Street 1:133 N FM 730 UNIT 105
Practice Address - Street 2:
Practice Address - City:BOYD
Practice Address - State:TX
Practice Address - Zip Code:76023-3072
Practice Address - Country:US
Practice Address - Phone:940-433-2151
Practice Address - Fax:940-433-2366
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8703NYOtherBCBSTX
TX366735401Medicaid
TX366735401Medicaid