Lauren C. Gannon
Internist Pediatrician
2675 Pleasant Hill Rd
Pleasant Hill
, California 94523-2033
Lauren C. Gannon
Internist Pediatrician
2675 Pleasant Hill Rd
Pleasant Hill
, California 94523-2033
(619) 906-4623
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About
Features
Specialties
- Internist
- Pediatrician
Languages spoken
- English
Location
First Address
- Lauren C. Gannon
- 1450 Treat Blvd # 300
- Walnut Creek, CA
- Zip : 94597-2168
- Fax : (619) 906-4623
- Phone : (925) 952-2828
Second Address
- Lauren C. Gannon
- 2675 Pleasant Hill Rd
- Pleasant Hill, CA
- Zip : 94523-2033
- Phone : (925) 676-1700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | A105771 | CA |
| Y | 111NI0900X | Internist | A105771 | CA |
| N | 208000000X | Pediatrician | A105771 | CA |
National Provider Identifier
| NPI | 1003012733 |
|---|---|
| Provider Name | Lauren C. Gannon |
| First Address | Walnut Creek, CA 94597-2168 |
| Second Address | Pleasant Hill, CA 94523-2033 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2007 |
| Last Update Date | 06/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.