Provider Demographics
NPI:1356651418
Name:GETUIZA, LAUREN
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:GETUIZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CHAPIN AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-4062
Mailing Address - Country:US
Mailing Address - Phone:650-348-6603
Mailing Address - Fax:650-348-0615
Practice Address - Street 1:1450 CHAPIN AVE
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4062
Practice Address - Country:US
Practice Address - Phone:650-348-6603
Practice Address - Fax:650-348-0615
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator