Individual
LAUREN PATTY DASKIVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
313 N FIGUEROA ST # 904C, LOS ANGELES, CA 90012-2602
(555) 555-5555
Mailing address
313 N FIGUEROA ST # 904C, LOS ANGELES, CA 90012-2602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A102189
CA
Other
Enumeration date
08/15/2008
Last updated
01/24/2013
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