Natalie R Lauryssen, PA
Physician Assistant, Surgical in Round Rock, TX. Individual provider (NPI-1).
NPI number1811280324
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1811280324
- Entity type
- Individual (NPI-1)
- Name
- Natalie R Lauryssen
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2011
- Certification date
- Mar 23, 2022
- Last updated
- Mar 23, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA09333 | TX | Yes |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
301 Seton Pkwy Ste 402Round Rock, TX 78665-8003
Phone 925-699-5299
Mailing address
301 Seton Pkwy Ste 402Round Rock, TX 78665-8003
Phone 925-699-5299
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