Individual
DR. BRUCE R LASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3737 MORAGA AVE, SUITE A-5, SAN DIEGO, CA 92117-5404
(858) 273-3300
(858) 273-5736
Mailing address
3737 MORAGA AVE STE A5, SAN DIEGO, CA 92117-5459
(858) 273-3300
(858) 273-5736
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A54791
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G547910
—
CA
Enumeration date
01/14/2006
Last updated
11/01/2011
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