Provider Demographics
NPI:1619794187
Name:MALEY, LAUREN MARGARET
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARGARET
Last Name:MALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4309 BROOKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7925
Mailing Address - Country:US
Mailing Address - Phone:630-888-9808
Mailing Address - Fax:
Practice Address - Street 1:4309 BROOKSHIRE CT
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7925
Practice Address - Country:US
Practice Address - Phone:630-888-9808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000522163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse