Individual
DR. SUMMER RAY LAQUERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18840 VENTURA BLVD STE 100, TARZANA, CA 91356-3382
(805) 794-5350
Mailing address
22555 WATERBURY ST, WOODLAND HILLS, CA 91364-4924
(805) 794-5350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
584615
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001381
CA
Other
Enumeration date
03/25/2020
Last updated
06/12/2023
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