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Organization
LAURI I AN MD A MEDICAL CORPORATION
Active
Organization
LAURI I AN MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI AN MD (PRESIDENT/MD)
(213) 388-7887
Entity
Organization
Contact information
Practice address
2655 W OLYMPIC BLVD STE 207, LOS ANGELES, CA 90006-2800
(213) 388-7887
Mailing address
2655 W OLYMPIC BLVD STE 207, LOS ANGELES, CA 90006-2800
(213) 388-7887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A42565
LIC
CA
Enumeration date
05/10/2021
Last updated
05/10/2021
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