Individual
DR. RAYMUND J LLAURADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 S PALISADE DR, SUITE 102, SANTA MARIA, CA 93454-8902
(805) 922-6641
(805) 922-5927
Mailing address
880 OAK PARK BLVD, SUITE 102, ARROYO GRANDE, CA 93420-1821
(805) 498-3235
(805) 922-5927
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
A56140
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A56140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A561400
—
CA
Enumeration date
12/28/2006
Last updated
09/26/2011
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