Provider Demographics
NPI:1740163880
Name:LAUREL, ERIN ANNE
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ANNE
Last Name:LAUREL
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 1:32506 WHITBURN TRL
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-4233
Mailing Address - Country:US
Mailing Address - Phone:832-729-0778
Mailing Address - Fax:
Practice Address - Street 1:801 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1282
Practice Address - Country:US
Practice Address - Phone:254-710-2470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program