Provider Demographics
NPI:1326461351
Name:HARRISON, LAUREN KRISTEN (AUD, CNIM)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:KRISTEN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:AUD, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39916 N GENERAL KEARNY RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-7322
Mailing Address - Country:US
Mailing Address - Phone:951-234-9247
Mailing Address - Fax:
Practice Address - Street 1:2815 CAMINO DEL RIO S STE 220
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3817
Practice Address - Country:US
Practice Address - Phone:858-279-6772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2946231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist