Lauryn Ann Sealock, is a
Licensed Psychiatric Technician based in Fontana, California. Lauryn Ann Sealock is licensed to practice in California (license number PT42246) and her current practice location is
15217 San Bernardino Ave, Fontana, California. She can be reached at her office (for appointments etc.) via phone at
(951) 643-2150.
NPI number for Lauryn Ann Sealock is 1558910935 and her current mailing address is 2085 Rustin Ave Ste 1, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558910935.
Healthcare Provider's Profile
| Full Name | Lauryn Ann Sealock |
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| Gender | Female |
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| Speciality | Licensed Psychiatric Technician |
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| Location | 15217 San Bernardino Ave, Fontana, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558910935
- Provider Enumeration Date: 09/08/2019
- Last Update Date: 02/14/2023
Medical Identifiers
Medical identifiers for Lauryn Ann Sealock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558910935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 167G00000X | Licensed Psychiatric Technician | PT42246 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauryn Ann Sealock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lauryn Ann Sealock,
2085 Rustin Ave Ste 1,
Riverside, CA 92507-2498
Ph: (951) 955-7320 | Lauryn Ann Sealock,
15217 San Bernardino Ave,
Fontana, CA 92335-5327
Ph: (951) 643-2150 |
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