Provider Demographics
NPI:1205252996
Name:RISINGER, LAUREN ASHLEY (LVN)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ASHLEY
Last Name:RISINGER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 ERROL DR
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF
Mailing Address - State:TX
Mailing Address - Zip Code:78669-2035
Mailing Address - Country:US
Mailing Address - Phone:512-773-1361
Mailing Address - Fax:
Practice Address - Street 1:502 ERROL DR
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF
Practice Address - State:TX
Practice Address - Zip Code:78669-2035
Practice Address - Country:US
Practice Address - Phone:512-773-1361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215611164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse