Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1083668743 |
---|---|
Provider Name | Ms. Lauren L. Galaty |
First Address | Berkeley, CA 94704-2608 |
Second Address | Berkeley, CA 94704-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 12/01/2012 |