Individual
MS. LAURETTA ALISON MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-3517
Mailing address
4740 VANTAGE AVE APT 3, VALLEY VILLAGE, CA 91607-3838
(818) 668-7524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363L00000X
NURSE PRACTIONER
CA
Enumeration date
08/29/2006
Last updated
07/08/2007
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