Provider Demographics
NPI:1891133278
Name:FALCON, LAURIE DEANNE (FNP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:DEANNE
Last Name:FALCON
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 1:126 EUGENE SASSER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-1454
Mailing Address - Country:US
Mailing Address - Phone:210-887-5557
Mailing Address - Fax:
Practice Address - Street 1:566 VETERAN DR
Practice Address - Street 2:
Practice Address - City:PEARSALL
Practice Address - State:TX
Practice Address - Zip Code:78061-6623
Practice Address - Country:US
Practice Address - Phone:210-231-4701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily