MEDICARE: LAUREN OUTLAND

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	163W00000X	Registered Nurse	401360	CA
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	18779	CA

General Provider Information

NPI Number	:	1710051438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN OUTLAND

Provider Business Mailing Address
First Line	:	1000 E VICTORIA ST
Second Line	:	SCHOOL OF NURSING
City	:	CARSON
State	:	CA
Zip	:	90747-0001
Country	:	US
Telephone Number	:	310-222-3714
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E VICTORIA ST
Second Line	:	SCHOOL OF NURSING
City	:	CARSON
State	:	CA
Zip	:	90747-0001
Country	:	US
Telephone Number	:	310-222-3714
Fax Number	:

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

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	09/26/2014

Similar Medicare Providers

1265530406 — TIMOTHY PATRICK MCGUIRE ATC
Practice Location Address:

1000 E VICTORIA ST
CARSON, CA
90747-0001

Practice Phone: 310-243-3876
Practice Fax:

1336249978 — MR. ETHAN M KREISWIRTH MA, ATC
Practice Location Address:

CAL STATE DOMINGUEZ HLS , 1000 E. VICTORIA ST.
CARSON, CA
90747-0001

Practice Phone: 310-243-3894
Practice Fax:

1457483083 — CSU DOMINGUEZ HILLS PHARMACY
Practice Location Address:

1000 E VICTORIA ST
CARSON, CA
90747-0001

Practice Phone: 310-243-3194
Practice Fax: 310-243-6990

1730309360 — DR. IRINA GAAL M.D.
Practice Location Address:

1000 E VICTORIA ST , CSUDH - STUDENT HEALTH CENTER
CARSON, CA
90747-0001

Practice Phone: 310-243-3198
Practice Fax: 310-217-6990

1366844359 — MARGARET MARQUARDT
Practice Location Address:

1000 E VICTORIA ST
CARSON, CA
90747-0001

Practice Phone: 310-243-3629
Practice Fax:

1427409077 — ASHLEY MUSICK ATC, EMT
Practice Location Address:

1000 E VICTORIA ST
CARSON, CA
90747-0001

Practice Phone: 310-243-2492
Practice Fax: 310-516-3710

Directions to “ LAUREN OUTLAND ” Practice Location

Language	Start Address	Practice Location

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