Provider Demographics
NPI:1710669643
Name:CHING, LAURYN ALEXA (FNP)
Entity Type:Individual
Prefix:
First Name:LAURYN
Middle Name:ALEXA
Last Name:CHING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 FAIRLAWN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-4022
Mailing Address - Country:US
Mailing Address - Phone:210-337-2600
Mailing Address - Fax:210-337-2644
Practice Address - Street 1:7115 FAIRLAWN DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-4022
Practice Address - Country:US
Practice Address - Phone:210-337-2600
Practice Address - Fax:210-337-2644
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130331363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care