Healthcare Provider Details

I. General information

NPI: 1851832679
Provider Name (Legal Business Name): LAUREN ORRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2017
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2241 HARVARD ST STE 300
SACRAMENTO CA
95815-3332
US

IV. Provider business mailing address

1165 HAGEN RD
NAPA CA
94558-3870
US

V. Phone/Fax

Practice location:
  • Phone: 916-614-9539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number26949
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: