| Doctor Name: | DR. LAUREN SHIRVANEE |
| NPI Number: | 1033447222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 20A 8882 |
| Business Practice Address: | 3903 Lone Tree Way Suite 210 Antioch, CA - 945096249 |
| Business Phone Number: | 9257547866 |
| Business Fax Number: | |
| Mailing Address: | 3903 Lone Tree Way, Suite 210 ANTIOCH |
| State: | CA |
| Postal Code: | 945096249 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2009 |
| NPI Last Update Date: | 11/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A 8882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |