LATISHA RYANNE MCLAURIN (NPI# 1649581455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649581455 |
| Entity Type | Individual |
| Full Name | LATISHA RYANNE MCLAURIN |
| Credential | M.D. |
| Practice Address |
4004 82nd St Ste C Lubbock TX 79423 |
| Mailing Address |
Po Box 5865 Lubbock TX 79408-5865 |
| Practice Telephone | 8067437800 |
| Practice Fax Number | 8067437651 |
| Mailing Telephone | 8067432898 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | P6678 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4004 82nd Street, Suite C, Lubbock, TX 794237450 | 8067437800 | 8067437657 |
| Street Address |
4004 82ND ST STE C |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942493150 | Lesley Motheral | Pediatrics | 4004 82nd St Ste C, Lubbock, TX 79423-2065 | 2007-08-21 |
| 1184062192 | Elizabeth M Sledge | Pediatrics | 4004 82nd St Ste C, Lubbock, TX 79423 | 2013-06-12 |
| 1124211321 | Amanda Masters | Pediatrics | 4004 82nd St Ste C, Lubbock, TX 79423-2065 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689188484 | Sarada Devi Narendran | Pediatrics | 9313 Salisbury Ave, Lubbock, TX 79424-5023 | 2017-12-01 |
| 1104237015 | Coby Robins | Pediatrics | Ttuhsc, Department of Pediatrics, Lubbock, TX 79430-0002 | 2014-05-13 |
| 1801227483 | Glenn Joseph Boris | Pediatrics | 3204 44th St, Lubbock, TX 79413-3506 | 2013-12-06 |
| 1508122110 | Mirla L Avila | Pediatrics | 3601 4th Street, Ms 8321, Dept. of Neurology, Lubbock, TX 79430 | 2012-04-09 |
| 1437435856 | West Texas Kid's Clinic, Pllc | Pediatrics | 5004 Frankford Ave Unit 400, Lubbock, TX 79424-1138 | 2011-10-31 |
| 1477864130 | Rebekah Grace Phillips | Pediatrics | 3601 4th St Stop 9406, Department of Pediatrics Ttuhsc, Lubbock, TX 79430-0002 | 2010-06-28 |
| 1013243278 | Jane Elizabeth Wheeler | Pediatrics | 4617 92nd St, Lubbock, TX 79424-5033 | 2009-10-22 |
| 1861636862 | Celeste Xochitl Twelves Caballero | Pediatrics | 5202 82nd St, Lubbock, TX 79424-2823 | 2009-04-22 |
| 1578713244 | Jeremy Robert Dalton | Pediatrics | 4102 24th St Ste 103, Lubbock, TX 79410-1800 | 2008-09-30 |
| 1306016019 | Maurice Asmussen | Pediatrics | 1313 Broadway Ste 5, Lubbock, TX 79401-3209 | 2008-03-10 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.