Provider Demographics
NPI:1699263087
Name:LARRABURE, LAUREN (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:LARRABURE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2255 YGNACIO VALLEY RD STE B1
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3335
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:925-236-2784
Practice Address - Street 1:2255 YGNACIO VALLEY RD STE B1
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3335
Practice Address - Country:US
Practice Address - Phone:925-945-7005
Practice Address - Fax:925-236-2784
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA165912207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology