Lagwyn Louise Durden, M.S., ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1443 Issued in TX

Practice address

2100 San Jacinto Blvd
Univeristy of Texas
Austin, TX 78712-1047

Phone

(512) 471-7058

Fax

(512) 232-5054

NPI assigned

Feb 16, 2007

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

Other names 1

• Miss Lagwyn Louise Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972647667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LINDO LOOP",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812281",
            "telephone_number": "512-238-7361",
            "fax_number": "512-232-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SAN JACINTO BLVD",
            "address_2": "UNIVERISTY OF TEXAS",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121047",
            "telephone_number": "512-471-7058",
            "fax_number": "512-232-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDEN",
        "first_name": "LAGWYN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "M.S., ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAGWYN",
            "last_name": "JOHNSON",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "credential": "M.S.,LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy E Durand, MD
• Brooke Durand
• Erin Leigh Durbiano
• Hannah Durbin
• Jordan Leann Durbin, MA
• Kyle Daniel Durel, CRNA
• Molly Reimer Durel, CRNA
• Stephen Durel, CRNA
• Murray Duren Jr., M.D.
• Olivia Duren

• Athletic Trainer in Austin, TX
• Providers in Austin, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.