Provider Demographics
NPI:1386306041
Name:ADAMSKI, LAUREN R (DC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:ADAMSKI
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 1:2611 BEE CAVES RD APT 141
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5663
Mailing Address - Country:US
Mailing Address - Phone:713-256-2964
Mailing Address - Fax:
Practice Address - Street 1:9217 W US HIGHWAY 290 STE 150
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78736-7818
Practice Address - Country:US
Practice Address - Phone:512-222-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor