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Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners for Children Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LOU LAZATIN (ADMINISTRATOR)
(213) 388-3151
Entity
Organization
Contact information
Practice address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(213) 388-3151
(213) 387-7528
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(213) 388-3151
(213) 387-7528
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
02/01/2017
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