Provider Demographics
NPI:1932668365
Name:EDDINGTON, LAUREN MICHELLE (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MICHELLE
Last Name:EDDINGTON
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MICHELLE
Other - Last Name:HUNKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:571 FM 548 STE 120
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-6385
Mailing Address - Country:US
Mailing Address - Phone:469-728-7999
Mailing Address - Fax:
Practice Address - Street 1:571 FM 548 STE 120
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6385
Practice Address - Country:US
Practice Address - Phone:469-728-7999
Practice Address - Fax:214-286-6212
Is Sole Proprietor?:No
Enumeration Date:2019-03-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29654208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics