Provider Demographics
NPI:1568902195
Name:PARISH, LAUREN (LAC, DAC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:PARISH
Suffix:
Gender:F
Credentials:LAC, DAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-2023
Mailing Address - Country:US
Mailing Address - Phone:858-354-5039
Mailing Address - Fax:
Practice Address - Street 1:29 BOLINAS RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:CA
Practice Address - Zip Code:94930-1662
Practice Address - Country:US
Practice Address - Phone:510-394-4332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC182001171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist