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Organization
LAC T VU
Active
Organization
LAC T VU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAC VU MD (OWNER)
(619) 286-5858
Entity
Organization
Contact information
Practice address
5555 RESERVOIR DR STE 205, SAN DIEGO, CA 92120-5148
(619) 286-5858
Mailing address
5555 RESERVOIR DR STE 205, SAN DIEGO, CA 92120-5148
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
01/13/2023
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