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Individual

LAUREN GIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7910 FROST ST., SUITE 360, SAN DIEGO, CA 92123-2776
(858) 246-0053
(858) 496-9257
Mailing address
3880 MURPHY CANYON RD., SUITE 200, SAN DIEGO, CA 92123-4411
(858) 636-4300
(858) 636-4319

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A81381
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A81381
CA

Other

Enumeration date
10/06/2006
Last updated
01/31/2025
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