Lauren Bacall Pettis is a student in an organized health care education training program in Berkeley, CA. The provider is 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. Lauren Bacall Pettis NPI is 1891940888. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA
ZIP 94704-238
Phone: (510) 981-5290
Fax: (510) 981-5265
The enumeration date for this NPI number is 11/18/2008 and was last updated on 11/18/2008.