Provider Demographics
NPI:1922369719
Name:REYES, LAUREN N (IBCLC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:N
Last Name:REYES
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3906 STONECROFT DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3163
Mailing Address - Country:US
Mailing Address - Phone:512-808-0237
Mailing Address - Fax:512-498-0211
Practice Address - Street 1:111 RAMBLE LN STE 115
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745
Practice Address - Country:US
Practice Address - Phone:512-808-0237
Practice Address - Fax:512-498-0211
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN