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Organization
LAURA NORTON PETROVICH MD PC
Active
Organization
LAURA NORTON PETROVICH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA NORTON PETROVICH M.D. (OWNER/PRESIDENT)
(619) 435-2234
Entity
Organization
Contact information
Practice address
1224 10TH ST, SUITE 200, CORONADO, CA 92118-3416
(619) 435-2234
(619) 435-1784
Mailing address
1224 10TH ST, SUITE 200, CORONADO, CA 92118-3416
(619) 435-2234
(619) 435-1784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A72085
CA
208000000X
Pediatrics Physician
Primary
A72085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A720850
—
CA
Enumeration date
09/17/2008
Last updated
02/08/2016
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