Individual
LAUREN N SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1198 PACIFIC COAST HWY, SUITE I, SEAL BEACH, CA 90740-6251
(562) 799-7071
(562) 594-5627
Mailing address
1198 PACIFIC COAST HWY, SUITE I, SEAL BEACH, CA 90740-6251
(562) 799-7071
(562) 594-5627
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01391224
RR MEDICARE
CA
Enumeration date
07/28/2008
Last updated
09/13/2017
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