Provider Demographics
NPI:1184821035
Name:HOWARD, LAUREN ELIZABETH (LAC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12304 SANTA MONICA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2586
Mailing Address - Country:US
Mailing Address - Phone:310-451-7170
Mailing Address - Fax:310-451-4044
Practice Address - Street 1:12304 SANTA MONICA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-2586
Practice Address - Country:US
Practice Address - Phone:310-451-7170
Practice Address - Fax:310-451-4044
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9946171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist