Individual
LAUREN WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 947-5224
(925) 947-3229
Mailing address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(707) 529-6238
(310) 967-1773
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95010761
CA
Other
Enumeration date
08/13/2019
Last updated
01/14/2025
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