Provider Demographics
NPI:1942901814
Name:LAFITTE, LAUREN LILLEY
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:LILLEY
Last Name:LAFITTE
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 1:3830 S VERSAILLES AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75209-5928
Mailing Address - Country:US
Mailing Address - Phone:469-323-3465
Mailing Address - Fax:
Practice Address - Street 1:3830 S VERSAILLES AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-5928
Practice Address - Country:US
Practice Address - Phone:469-323-3465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula