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NPI Code Detail

MEDICARE: LAUREN TONECK NP

MEDICARE: LAUREN TONECK NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95008627CA
2363LP0222XCritical Care Pediatric Nurse Practitioner95008627CA

General Provider Information

NPI Number : 1427515584
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TONECK NP
Provider Business Mailing Address
First Line : 360 S EUCLID AVE UNIT 125
Second Line :
City : PASADENA
State : CA
Zip : 91101-3163
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2029 CENTURY PARK E STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2905
Country : US
Telephone Number : 800-465-3203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 09/16/2024

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