Healthcare Provider Details

I. General information

NPI: 1922758275
Provider Name (Legal Business Name): KRISTA RAE LAMORIE-FOOTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N STATE ST STE A7D
LOS ANGELES CA
90089-1001
US

IV. Provider business mailing address

3498 IVY TRL
CALABASAS CA
91302-2019
US

V. Phone/Fax

Practice location:
  • Phone: 818-605-7047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA190842
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: