MEDICARE: MS. LOUISA PRINGLE

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1891840476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LOUISA PRINGLE

Provider Business Mailing Address
First Line	:	245 ALTAIR AVE
Second Line	:
City	:	LOMPOC
State	:	CA
Zip	:	93436-1423
Country	:	US
Telephone Number	:	805-757-9408
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 E HALEY ST
Second Line	:	STE D
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2347
Country	:	US
Telephone Number	:	805-962-1004
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	07/08/2007

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