Individual
DR. LAURA NICOLE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A135583
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A135583
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
A135583
CA
Other
Enumeration date
04/24/2013
Last updated
01/10/2024
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