Individual
MARIE I LAUSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
B1 CALLE SAN ALVARO, SAN JUAN GARDENS, SAN JUAN, PR 00926-5322
(787) 758-1733
(787) 163-9942
Mailing address
B1 CALLE SAN ALVARO, SAN JUAN GARDENS, SAN JUAN, PR 00926-5322
(787) 758-1733
(787) 763-9942
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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