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Individual

LAUREN SKAGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3141 COLLEGE AVE APT 5, BERKELEY, CA 94705-2744
(971) 235-4675
Mailing address
3141 COLLEGE AVE APT 5, BERKELEY, CA 94705-2744

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95174832
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001700
CA

Other

Enumeration date
11/09/2021
Last updated
06/02/2022
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