Provider Demographics
NPI:1972073708
Name:ACADEMIA, LAUREN LEE (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:LEE
Last Name:ACADEMIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:ASHLEY
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1400 N COIT RD STE 901
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6659
Mailing Address - Country:US
Mailing Address - Phone:214-799-1161
Mailing Address - Fax:
Practice Address - Street 1:1400 N COIT RD STE 901
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-6659
Practice Address - Country:US
Practice Address - Phone:214-799-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor