Individual
LAUREN DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1753 CARROLL AVE, SAN FRANCISCO, CA 94124-2647
(415) 712-0501
Mailing address
1753 CARROLL AVE, SAN FRANCISCO, CA 94124-2647
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
842808
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95031222
CA
Other
Enumeration date
05/16/2022
Last updated
05/09/2025
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