Provider Demographics
NPI:1154756674
Name:BYINGTON, LAUREN KRAWCZYK (OD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:KRAWCZYK
Last Name:BYINGTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:CALI
Other - Last Name:KRAWCZYK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:9204 MENAUL BLVD NE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2256
Mailing Address - Country:US
Mailing Address - Phone:505-452-2020
Mailing Address - Fax:
Practice Address - Street 1:9204 MENAUL BLVD NE
Practice Address - Street 2:SUITE 2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2256
Practice Address - Country:US
Practice Address - Phone:505-452-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM655152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist