LAUREN DEWALT

LONG BEACH, CA
NPI1346603248
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  95006348)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  835264)
Enumeration Date2016-03-30
Last Update Date2022-01-27
Business Address
LAUREN DEWALT AGNP
3800 KILROY AIRPORT WAY STE 100
LONG BEACH, CA 90806-6818
Phone number: 562-527-7600
Mailing Address
LAUREN DEWALT AGNP
4729 E BLUE BIRD AVE
ORANGE, CA 92869-1918
Phone number: 949-293-1456