Individual
LAURA SEZONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2699 ATLANTIC AVE, LONG BEACH, CA 90806-2710
(562) 490-3096
Mailing address
2699 ATLANTIC AVE, LONG BEACH, CA 90806-2710
(562) 490-3096
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
51315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51315
RPH
CA
Enumeration date
05/11/2018
Last updated
06/16/2018
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