Individual
DR. MARNIE LAICO ELIZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1135 ALTSCHUL AVE, MENLO PARK, CA 94025-6601
(650) 854-4984
Mailing address
1135 ALTSCHUL AVE, MENLO PARK, CA 94025-6601
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
C51950
CA
207RI0200X
Infectious Disease Physician
MD00034794
WA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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