Provider Demographics
NPI:1750859310
Name:BIRKINSHAW, LAUREN JILL (NP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:JILL
Last Name:BIRKINSHAW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 TRADITION LN
Mailing Address - Street 2:
Mailing Address - City:RSM
Mailing Address - State:CA
Mailing Address - Zip Code:92688-5572
Mailing Address - Country:US
Mailing Address - Phone:949-212-6251
Mailing Address - Fax:
Practice Address - Street 1:23653 EL TORO RD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-8614
Practice Address - Country:US
Practice Address - Phone:949-455-4920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-12
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009944363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily