Individual
LAUREN GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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