Individual
LAUREN PETRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 S PECOS RD STE 17, LAS VEGAS, NV 89121-5027
(702) 332-8466
Mailing address
1981 SYCAMORE CT, MCKINLEYVILLE, CA 95519-3901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/20/2012
Last updated
02/07/2013
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