Individual
KRISTEN LAUERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 COFFEE RD STE A, MODESTO, CA 95355-1766
(209) 522-0001
Mailing address
3109 COFFEE RD STE A, MODESTO, CA 95355-1766
(209) 522-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95024350
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95024350
NP
CA
Enumeration date
02/20/2023
Last updated
02/20/2023
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