Lauren Duque, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1321613 Issued in TX

Practice address

2010 Good Tree St
Stephenville, TX 76401-6026

Phone

(254) 434-6914

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1043881055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 COUNTY ROAD 419",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764016431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GOOD TREE ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764016026",
            "telephone_number": "254-434-6914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Park St",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760481800",
            "country_code": "US",
            "telephone_number": "817-573-3726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Bo Gibbs Blvd",
            "address_purpose": "LOCATION",
            "city": "Glen Rose",
            "state": "TX",
            "postal_code": "76043",
            "country_code": "US",
            "telephone_number": "254-897-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1321613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sue Donley, CNP
• Fiona Leigh Dowling
• DPT Physical Therapy & Performance
• Stephanie Renee Drake, M.S., CCC-SLP
• Lindsey Duncan, SLP
• Eccare Professional Association of Texas P.a.
• Sharon Denise Edwards, OTR
• Allyson Elkins, SLP
• Miranda Ellis
• Meagan Ellner, OTR, OTD

• Physical Therapist in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.