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Organization
MARK PATRICK LOURON MD INC
Active
Organization
MARK PATRICK LOURON MD INC
Active
Other names
Mark P. Lauron, M.D., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK P LAURON M.D. (PHYSICIAN)
(760) 242-8887
Entity
Organization
Contact information
Practice address
16024 KAMANA RD, APPLE VALLEY, CA 92307-1308
(760) 242-8887
(760) 242-4414
Mailing address
16024 KAMANA RD, APPLE VALLEY, CA 92307-1308
(760) 242-3644
(760) 242-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A061892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A618920
—
CA
Enumeration date
09/13/2010
Last updated
05/18/2020
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