Provider Demographics
NPI:1205634789
Name:TASAKI, LAUREN (RN, RCSN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:TASAKI
Suffix:
Gender:
Credentials:RN, RCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 CAROL LN E
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:CA
Mailing Address - Zip Code:95971-9637
Mailing Address - Country:US
Mailing Address - Phone:530-927-8683
Mailing Address - Fax:
Practice Address - Street 1:246 ALDER ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:CA
Practice Address - Zip Code:95971-9405
Practice Address - Country:US
Practice Address - Phone:530-283-6557
Practice Address - Fax:530-283-6085
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95141895163WS0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool