MEDICARE: LAUREN SEASTROM HUNT N.P.

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	363LP0200X	Pediatric Nurse Practitioner	95000077	CA

General Provider Information

NPI Number	:	1831510353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN SEASTROM HUNT N.P.

Provider Business Mailing Address
First Line	:	PO BOX 9270
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92375-2470
Country	:	US
Telephone Number	:	951-779-1670
Fax Number	:

Provider Business Practice Location Address
First Line	:	6926 BROCKTON AVE
Second Line	:	SUITE 6
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3804
Country	:	US
Telephone Number	:	951-779-1670
Fax Number	:	951-779-1679

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

Provider Enumeration Date	:	12/31/2013
Last Update Date	:	10/14/2014

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