Gresham, Lauryn Elizabeth
Gresham, Lauryn Elizabeth is an sole proprietor health care provider with primary practice located at 6323 N Fresno St Ste 101 , Fresno CA 93710-5282. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Gresham, Lauryn Elizabeth can be contacted via phone (559) 439-2307.Contact Information
Primary practice address
6323 N Fresno St Ste 101
Fresno CA 93710-5282
Phone: (559) 439-2307
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Assistant | 126800000X | 91009 | California |
Profile Details
NPI number | 1093289902 |
---|---|
LBN Legal business name | Gresham, Lauryn Elizabeth |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 14th, 2019 |
Last updated | Jan 14th, 2019 - about 6 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 | 1093289902 | NPPES |
California | Other | D8733126 | NON MEDICARE |
California | Other | D8733126 | NON MEDICARE |
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