Provider Demographics
NPI:1720895352
Name:ZUK, LAUREN ELISABETH
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELISABETH
Last Name:ZUK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:ELISABETH
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5212 MCKINNEY WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0717
Mailing Address - Country:US
Mailing Address - Phone:805-551-9083
Mailing Address - Fax:
Practice Address - Street 1:1972 DEL PASO RD STE 156
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-7725
Practice Address - Country:US
Practice Address - Phone:916-575-8800
Practice Address - Fax:916-575-8822
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20159235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist