Provider Demographics
NPI:1174325435
Name:YBARRA, LAUREN RENE
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:RENE
Last Name:YBARRA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:RENE
Other - Last Name:YBARRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1410 F ST # 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-1608
Mailing Address - Country:US
Mailing Address - Phone:559-457-2302
Mailing Address - Fax:
Practice Address - Street 1:1410 F ST # 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-1608
Practice Address - Country:US
Practice Address - Phone:559-457-2302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator