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Individual

LAUREN MIHAILIDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3 MEDICAL PLAZA DR STE 230, ROSEVILLE, CA 95661-3088
(916) 797-4766
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(191) 670-8803

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A172618
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/23/2017
Last updated
08/11/2021
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