Larock, Kristi Lynn

Larock, Kristi Lynn is an individual health care provider with primary practice located at 2500 Mowry Ave Suite 222, Fremont CA 94538-1605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larock, Kristi Lynn can be contacted via phone (510) 818-1160.

Contact Information

Primary practice address
2500 Mowry Ave Suite 222 Fremont CA 94538-1605
Phone: (510) 818-1160
Fax: (510) 818-1195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 17772 California

Profile Details

NPI number 1255317350
LBN Legal business name Larock, Kristi Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated May 16th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255317350 NPPES
California Other 17772 PA LICENSE NUMBER

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