Nitschke, Lauren Ann

Nitschke, Lauren Ann is an individual health care provider with primary practice located at 250 N See Vee Ln , Bishop CA 93514-8130. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Nitschke, Lauren Ann can be contacted via phone (760) 873-3443.

Contact Information

Primary practice address
250 N See Vee Ln Bishop CA 93514-8130
Fax: (760) 503-0205
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 24368 California

Profile Details

NPI number 1235878612
LBN Legal business name Nitschke, Lauren Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2022
Last updated Jun 2nd, 2022 - about 3 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 1235878612 NPPES
California MEDICAID THP11576F

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