Bradley, Lauren Lewis

Bradley, Lauren Lewis is an individual health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bradley, Lauren Lewis can be contacted via phone (559) 353-6215.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8762
Fax: (559) 353-6222
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95003232 California

Profile Details

NPI number 1063883551
LBN Legal business name Bradley, Lauren Lewis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2015
Last updated Jul 22nd, 2019 - about 5 years ago

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 1063883551 NPPES
California MEDICAID 1487980538

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