Individual
LARA KIRSTEN SODERGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
501 S HIGH ST, SEBASTOPOL, CA 95472-4372
(707) 823-4801
(707) 823-4801
Mailing address
501 S HIGH ST, SEBASTOPOL, CA 95472-4372
(707) 823-4801
(707) 823-4801
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM123
CA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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