Individual
VIVIAN LAQUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
118 MED SURG I, IRVINE, CA 92697-2400
(949) 824-4405
(949) 824-7454
Mailing address
118 MED SURG I, IRVINE, CA 92697-2400
(949) 824-4405
(949) 824-7454
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A113693
CA
Other
Enumeration date
05/05/2009
Last updated
04/02/2014
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