Keith, Lou-Anne
Keith, Lou-Anne is an individual health care provider with primary practice located at 1550 Superior Ave , Costa Mesa CA 92627-3653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keith, Lou-Anne can be contacted via phone (949) 650-0186.Contact Information
Primary practice address
1550 Superior Ave
Costa Mesa CA 92627-3653
Phone: (949) 650-0186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11245 | California |
Profile Details
| NPI number | 1407060155 |
|---|---|
| LBN Legal business name | Keith, Lou-Anne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407060155 | NPPES |
| California | Other | 11245 | NURSE PRACTITIONER LICENS |
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