Organization
LAURENCE J. LASKY, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE JON LASKY M.D. (PHYSICIAN)
(310) 947-1366
Entity
Organization
Contact information
Practice address
3100 W WARNER AVE, SANTA ANA, CA 92704-5331
(714) 546-4233
Mailing address
131 MANHATTAN AVE, APT. B, HERMOSA BEACH, CA 90254-5113
(310) 947-1366
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G22540
CA
Other
Enumeration date
10/09/2006
Last updated
10/09/2007
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