Healthcare Provider Details

I. General information

NPI: 1487336368
Provider Name (Legal Business Name): LALAINE AUSTRIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E BELLE TER
BAKERSFIELD CA
93307-3871
US

IV. Provider business mailing address

1600 E BELLE TER STE 1
BAKERSFIELD CA
93307-3872
US

V. Phone/Fax

Practice location:
  • Phone: 661-635-2950
  • Fax:
Mailing address:
  • Phone: 661-377-8606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95326712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: