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Ms. Lauren Wallace Keaney
Student in an Organized Health Care Education/Training Program in Crestline, California
NPI 1912034133

Lauren Wallace Keaney is a Student in an Organized Health Care Education/Training Program based in Crestline, CA. Lauren Wallace Keaney practices in Crestline, CA. The NPI Number for Lauren Wallace Keaney is 1912034133 and holds a License No. (California).

The current practice location address for Lauren Wallace Keaney is 340 Ca Hwy 138, Crestline, CA and can be reached out via phone at 909-336-3330.

Location: 340 Ca Hwy 138, Crestline, CA, 92325-6300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912034133
Provider Name
Lauren Wallace Keaney
Credential
Provider Entity Type
Individual
Gender
Female
Address
340 Ca Hwy 138, Crestline, CA, 92325-6300
Phone Number
909-336-3330
Fax Number
Provider Enumeration Date
02/27/2007
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
340 Ca Hwy 138
City
Crestline
State
California
Zip
92325-6300
Phone Number
909-336-3330
Fax Number
person
Provider Business Mailing Address Details
Address
340 Ca Hwy 138
City
Crestline
State
California
Zip
92325-6300
Phone Number
909-336-3330
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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