MEDICARE: LAUREN ANDREWS MORALES OD

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	152W00000X	Optometrist	OPT34669	CA

General Provider Information

NPI Number	:	1235742487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ANDREWS MORALES OD

Provider Business Mailing Address
First Line	:	950 THARP RD STE 1500
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 THARP RD STE 1500
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8352
Country	:	US
Telephone Number	:	530-671-7100
Fax Number	:

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

Provider Enumeration Date	:	08/27/2020
Last Update Date	:	11/29/2022

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