Provider Demographics
NPI:1083446082
Name:BURRELL, LAUREN N (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:N
Last Name:BURRELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18110 HUNTERS TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5412
Mailing Address - Country:US
Mailing Address - Phone:214-507-7053
Mailing Address - Fax:
Practice Address - Street 1:7116 FM 1960 RD E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2702
Practice Address - Country:US
Practice Address - Phone:281-603-9628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor