Provider Demographics
NPI:1790596013
Name:MARTIN, LAUREN (FNP-C)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 FM 1144
Mailing Address - Street 2:
Mailing Address - City:KARNES CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78118-6506
Mailing Address - Country:US
Mailing Address - Phone:830-254-2000
Mailing Address - Fax:830-254-2295
Practice Address - Street 1:409 FM 1144
Practice Address - Street 2:
Practice Address - City:KARNES CITY
Practice Address - State:TX
Practice Address - Zip Code:78118-6506
Practice Address - Country:US
Practice Address - Phone:830-254-2000
Practice Address - Fax:830-254-2295
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily