Individual
LAUREN LEWIS BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8762
(559) 353-6215
(559) 353-6222
Mailing address
1077 W MORTON AVE STE 101, PORTERVILLE, CA 93257-1989
(559) 781-5022
(559) 781-6990
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95003232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487980538
—
CA
Enumeration date
10/09/2015
Last updated
07/22/2019
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