Individual
KERRI ANN LAUCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3240 LUTHER AVE, THOUSAND OAKS, CA 91360-2715
(805) 493-3225
(805) 493-3955
Mailing address
60 W OLSEN RD # 4300, THOUSAND OAKS, CA 91360-2700
(805) 493-3225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WPA15782A
—
CA
Enumeration date
06/20/2007
Last updated
03/08/2017
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