Provider Demographics
NPI:1548781529
Name:JENSEN, LAUREN BROOKE (OD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BROOKE
Last Name:JENSEN
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:15202 BARATARIA DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6163
Mailing Address - Country:US
Mailing Address - Phone:361-529-7570
Mailing Address - Fax:
Practice Address - Street 1:14650 COMPASS ST STE 2
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6237
Practice Address - Country:US
Practice Address - Phone:361-529-7570
Practice Address - Fax:361-371-8473
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX9264T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist