Keith, Lou-Anne

Keith, Lou-Anne is an individual health care provider with primary practice located at 1550 Superior Ave , Costa Mesa CA 92627-3653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keith, Lou-Anne can be contacted via phone (949) 650-0186.

Contact Information

Primary practice address
1550 Superior Ave Costa Mesa CA 92627-3653
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11245 California

Profile Details

NPI number 1407060155
LBN Legal business name Keith, Lou-Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 18 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 1407060155 NPPES
California Other 11245 NURSE PRACTITIONER LICENS

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