Provider Demographics
NPI:1154076669
Name:GAUERKE, LOUISA
Entity type:Individual
Prefix:
First Name:LOUISA
Middle Name:
Last Name:GAUERKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3821 LINCOLN HIGH PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-2857
Mailing Address - Country:US
Mailing Address - Phone:213-384-4113
Mailing Address - Fax:
Practice Address - Street 1:3821 LINCOLN HIGH PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90031-2857
Practice Address - Country:US
Practice Address - Phone:213-384-4113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program