MEDICARE: DR. LAUREN AMY MATHEWSON N.D.

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
1	175F00000X	Naturopath	3029	OR

General Provider Information

NPI Number	:	1619348935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN AMY MATHEWSON N.D.

Provider Business Mailing Address
First Line	:	3800 J ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5576
Country	:	US
Telephone Number	:	916-451-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 J ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-5576
Country	:	US
Telephone Number	:	916-451-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2015
Last Update Date	:	04/29/2022

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