Provider Demographics
NPI:1922731777
Name:KARANU, LAURYN JANE WANJIRU
Entity Type:Individual
Prefix:
First Name:LAURYN JANE
Middle Name:WANJIRU
Last Name:KARANU
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 1:700 GIBSON DR APT 1121
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5760
Mailing Address - Country:US
Mailing Address - Phone:314-898-8433
Mailing Address - Fax:
Practice Address - Street 1:700 GIBSON DR APT 1121
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5760
Practice Address - Country:US
Practice Address - Phone:314-898-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95184426163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse