Most Relevant Information
Provider Data
| NPI Number: | 1003371105 |
| Provider Name: | LAUREN ELIZABETH BEENTJES |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | SPA5294 |
Most Important Dates
| Enumeration Date: | 02/04/2019 |
| Last Updated: | 02/04/2019 |
Provider Practice Location
1972 DEL PASO RD STE 156
SACRAMENTO
CA
958347725
Practice Location Phone/Fax
| Phone: | 9165758800 |
| Fax: | 9165758822 |
Provider Mailing Location
PO BOX 341160
SACRAMENTO
CA
958349060
Provider Mailing Phone/Fax
| Phone: | 9165758800 |
| Fax: | 9165758822 |