Individual provider · Type 1 NPI

Laraine K. Koen

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1629676820 Active

Practice location

123 Brookshire Lane
Sacramento, CA 95820

Mailing address

123 Brooks Hire Lane
Sacramento, CA 95820

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629676820

Laraine K. Koen's National Provider Identifier is 1629676820, issued on Oct 12, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 12, 2020.