Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAMIEN SHEPPARD I
Active Sole ProprietorDAMIEN SHEPPARD I is a Clinical Medical Laboratory healthcare provider located in LAKE ELSINORE, California. NPI 1134654981 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1134654981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2017 (9.3397560423894 yrs)
- Last Updated
- Apr 28, 2017
- License
-
00056962 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45004 ALTISSIMO WAYLAKE ELSINORE, CA, 925321523Browse CA providers · Browse ZIP 92532
- Phone
- 9517686698
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.