Individual
LAUREN KANAMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
Mailing address
26511 HEATHER BRK, LAKE FOREST, CA 92630-5614
(858) 229-6736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
616445
CA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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