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Individual
MS. LAURIE RENE HEINRICH
Active
Individual
MS. LAURIE RENE HEINRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN79041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EPS006010
MEDICAL PROVIDER NUMBER
CA
Enumeration date
03/28/2007
Last updated
07/08/2007
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