Provider Demographics
NPI:1316213689
Name:RAINS, LAUREN MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MICHELLE
Last Name:RAINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 W HIGHWAY ST
Mailing Address - Street 2:
Mailing Address - City:IOWA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76367-1149
Mailing Address - Country:US
Mailing Address - Phone:940-592-2778
Mailing Address - Fax:940-592-2701
Practice Address - Street 1:928 W HIGHWAY ST
Practice Address - Street 2:
Practice Address - City:IOWA PARK
Practice Address - State:TX
Practice Address - Zip Code:76367-1149
Practice Address - Country:US
Practice Address - Phone:940-592-2778
Practice Address - Fax:940-592-2701
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX046455402Medicaid
TX162932101OtherMEDICAID TPIN GROUP
TX00523UOtherMEDICARE GROUP
TX162932101OtherMEDICAID TPIN GROUP