Provider Demographics
NPI:1710414107
Name:DRAEGER, LAUREN
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:DRAEGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:HOELSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2010 W KATHERINE P RAINES RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7447
Mailing Address - Country:US
Mailing Address - Phone:817-556-3212
Mailing Address - Fax:817-645-9845
Practice Address - Street 1:2010 W KATHERINE P RAINES RD STE 400
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7458
Practice Address - Country:US
Practice Address - Phone:817-556-3212
Practice Address - Fax:817-645-9845
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1314303225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist