Lamar University Student Health Ctr

NPI #1003129891 in Beaumont, Texas

Provider Information

NPI Number
1003129891
Entity Type
Organization
Organization Name
Lamar University Student Health Ctr
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 21, 2010
Last Updated
Jul 21, 2010

Practice Location

Address
857 E VIRGINIA ST
State
Texas
ZIP Code
77705-5546
Phone
(409) 880-8466

Authorized Official

Name
SHAWN GRAY, RNMSNENP
Title
COORDINATOR/NURSE
Phone
(409) 880-8466

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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