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Organization
PATRICIO LAUDER A PROFESSIONAL MEDICAL CORP.
Active
Organization
PATRICIO LAUDER A PROFESSIONAL MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIO LAUDER MD (OWNER)
(209) 339-9022
Entity
Organization
Contact information
Practice address
1006 NUT TREE RD, VACAVILLE, CA 95687-4100
(209) 339-9022
Mailing address
PO BOX 55243, STOCKTON, CA 95205-8743
(209) 339-9022
(209) 339-9033
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A64160
CA
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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