Individual
LAURIE JEANNE MAZZEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HOPE DR, TUSTIN, CA 92782-0221
(714) 247-0300
(714) 259-1598
Mailing address
1 HOPE DR, TUSTIN, CA 92782-0221
(714) 247-0300
(714) 259-1598
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19430
CA
Other
Enumeration date
10/31/2007
Last updated
06/17/2021
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