Individual
MS. LAURA CROCITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7327 ALTA VIS, LA VERNE, CA 91750-1103
(909) 392-4590
Mailing address
7327 ALTA VIS, LA VERNE, CA 91750-1103
(909) 392-4590
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G70029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G700290
—
CA
Enumeration date
10/04/2006
Last updated
04/17/2018
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