Provider Demographics
NPI:1629067046
Name:ALEXANDER, LAURA L (CHT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 SLIDE RD
Mailing Address - Street 2:SUITE B8
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-2532
Mailing Address - Country:US
Mailing Address - Phone:806-771-7451
Mailing Address - Fax:806-771-7448
Practice Address - Street 1:3602 SLIDE RD
Practice Address - Street 2:SUITE B8
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-2532
Practice Address - Country:US
Practice Address - Phone:806-771-7451
Practice Address - Fax:806-771-7448
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106978225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T2634OtherBCBS
TX8T2634OtherBCBS