Individual provider · NPI-1
Lara Kaye Herrick
Student in an Organized Health Care Education/Training Program · Moorpark, CA
NPI number1205428455
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1205428455
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lara Kaye Herrick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
50 Majestic Ct Apt 304Moorpark, CA 93021-4110
Phone 805-217-3088
Mailing address
50 Majestic Ct Apt 304Moorpark, CA 93021-4110
Phone 805-217-3088
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