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NPI Code Detail

MEDICARE: LAUREN NAZARI STEPHANOFF RNO

MEDICARE: LAUREN NAZARI STEPHANOFF RNO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse685024CA

General Provider Information

NPI Number : 1336963057
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN NAZARI STEPHANOFF RNO
Provider Business Mailing Address
First Line : 7245 LOTUS WAY
Second Line :
City : APTOS
State : CA
Zip : 95003-3638
Country : US
Telephone Number : 310-529-0445
Fax Number :
Provider Business Practice Location Address
First Line : 1171 7TH AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2714
Country : US
Telephone Number : 831-476-1770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2024
Last Update Date : 11/09/2024

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