Individual
LAUREN K BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
105 S 3RD AVE, WALLA WALLA, WA 99362-2848
(509) 240-2554
(509) 492-5527
Mailing address
1351 LOWELL DR, WALLA WALLA, WA 99362-8820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60992349
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2190950
—
WA
Enumeration date
10/21/2019
Last updated
01/09/2023
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