Provider Demographics
NPI:1407500127
Name:ALBERSTONE, LAUREN RACHEL (PA-C)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:RACHEL
Last Name:ALBERSTONE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11600 VENICE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-4014
Mailing Address - Country:US
Mailing Address - Phone:805-910-6376
Mailing Address - Fax:
Practice Address - Street 1:11600 VENICE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-4014
Practice Address - Country:US
Practice Address - Phone:805-910-6376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical