Provider Demographics
NPI:1174372908
Name:ARTASERSE, LAUREN JULIA (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JULIA
Last Name:ARTASERSE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 E IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-1719
Mailing Address - Country:US
Mailing Address - Phone:657-626-2528
Mailing Address - Fax:
Practice Address - Street 1:1211 E IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-1719
Practice Address - Country:US
Practice Address - Phone:657-626-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor