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Individual

MRS. LAUREN M NYSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1700 2ND ST, NAPA, CA 94559-2445
(707) 252-2931
Mailing address
2290 SACRAMENTO ST, VALLEJO, CA 94590-2929
(707) 643-5785
(707) 643-8190

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19925
CA
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
09/15/2008
Last updated
05/10/2023
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