Individual
LAUREN T BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
1035 GRAYSON ST, BERKELEY, CA 94710-2642
(510) 848-4800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3216
CA
Other
Enumeration date
08/10/2017
Last updated
01/08/2020
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