Individual
LAUREN LA VIOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
414 W TEAGUE AVE, FRESNO, CA 93711-6072
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95181727
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95029220
CA
Other
Enumeration date
09/15/2020
Last updated
03/15/2024
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