Individual
DR. LAURA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS 3RD FL M-306, SAN FRANCISCO, CA 94143-0001
(415) 353-1887
(415) 353-8675
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G84007
CA
2080P0202X
Pediatric Cardiology Physician
Primary
G84007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G840070
—
CA
Enumeration date
06/28/2006
Last updated
09/04/2008
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