Provider Demographics
NPI:1619348935
Name:MATHEWSON, LAUREN AMY (ND)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:AMY
Last Name:MATHEWSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 J ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5576
Mailing Address - Country:US
Mailing Address - Phone:916-451-2400
Mailing Address - Fax:
Practice Address - Street 1:3800 J ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5576
Practice Address - Country:US
Practice Address - Phone:916-451-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-13
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3029175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath