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
Phone: (559) 353-6215
Fax: (559) 353-6222
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063883551 | NPPES |
California | MEDICAID | 1487980538 |
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