Berg, Lauren K

Berg, Lauren K is an individual health care provider with primary practice located at 105 S 3Rd Ave , Walla Walla WA 99362-2848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berg, Lauren K can be contacted via phone (509) 240-2554.

Contact Information

Primary practice address
105 S 3Rd Ave Walla Walla WA 99362-2848
Phone: (509) 240-2554
Fax: (509) 492-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60992349 Washington

Profile Details

NPI number 1508409780
LBN Legal business name Berg, Lauren K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2019
Last updated Jan 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508409780 NPPES
Washington MEDICAID 2190950

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