Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lauren Bacall Pettis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891940888

Lauren Bacall Pettis is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238
Phone: (510) 981-5290
Fax: (510) 981-5265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891940888
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2008
Last updated in NPPESNovember 18, 2008

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