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Individual

LAUREN CARRASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4150 CLEMENT ST # 136MP, SAN FRANCISCO, CA 94121-1563
(415) 750-2129
Mailing address
4150 CLEMENT ST # 136MP, SAN FRANCISCO, CA 94121-1563

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012396
CA
363LA2200X
Adult Health Nurse Practitioner
95012396
CA
363LG0600X
Gerontology Nurse Practitioner
95012396
CA
363LP2300X
Primary Care Nurse Practitioner
95012396
CA

Other

Enumeration date
08/15/2019
Last updated
12/22/2024
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