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Individual
LAUREN BALLARD
Active
Individual
LAUREN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95136319
CA
163WC1500X
Community Health Registered Nurse
557424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95136319
RN LICENSE
CA
Enumeration date
12/04/2019
Last updated
12/04/2019
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