Provider Demographics
NPI:1760071146
Name:NATHO, LAUREN KAY
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:KAY
Last Name:NATHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 HIGHWAY 46 W
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4753
Mailing Address - Country:US
Mailing Address - Phone:830-626-3348
Mailing Address - Fax:866-576-5487
Practice Address - Street 1:1655 HIGHWAY 46 W
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4753
Practice Address - Country:US
Practice Address - Phone:830-626-3348
Practice Address - Fax:866-576-5487
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100117183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician