Provider Demographics
NPI:1508576356
Name:LATOUR, LAUREN ANNABELLE
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANNABELLE
Last Name:LATOUR
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 1:269 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-4412
Mailing Address - Country:US
Mailing Address - Phone:818-334-9581
Mailing Address - Fax:
Practice Address - Street 1:269 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-4412
Practice Address - Country:US
Practice Address - Phone:818-334-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program