Individual
LAUREN KOROKNAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, OMT
Contact information
Practice address
5472 HUNTER ST, VENTURA, CA 93003-2231
(805) 766-9175
Mailing address
5472 HUNTER ST, VENTURA, CA 93003-2231
(805) 766-9175
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26766
CA
2255A2300X
Athletic Trainer
299177
CA
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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