Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 457 | CA |
NPI | 1164870259 |
---|---|
Provider Name | Lauren French Hoy |
First Address | Hermosa Beach, CA 90254-3033 |
Second Address | Hermosa Beach, CA 90254-3033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2016 |
Last Update Date | 30/05/2016 |