Organization
MARY LOU RANE PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU RANE PHD (DOCTOR)
(310) 277-0241
Entity
Organization
Contact information
Practice address
10332 EASTBORNE AVE, LOS ANGELES, CA 90024-5350
(310) 277-0241
(310) 277-9604
Mailing address
10332 EASTBORNE AVE, LOS ANGELES, CA 90024-5350
(310) 277-0241
(310) 277-9604
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
133N00000X
—
Other
Enumeration date
08/17/2013
Last updated
08/17/2013
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