Individual
DR. ELIZABETH ELLIS LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5855
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A173973
CA
2080P0202X
Pediatric Cardiology Physician
Primary
A173973
CA
Other
Enumeration date
03/26/2018
Last updated
10/29/2024
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