Keaney, Lauren Wallace

Keaney, Lauren Wallace is an individual health care provider with primary practice located at 340 Ca Hwy 138 , Crestline CA 92325-6300. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Keaney, Lauren Wallace can be contacted via phone (909) 336-3330.

Contact Information

Primary practice address
340 Ca Hwy 138 Crestline CA 92325-6300
Phone: (909) 336-3330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1912034133
LBN Legal business name Keaney, Lauren Wallace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 25th, 2024 - about 8 months 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.

Request for update

Popular Providers