Individual
LAUREN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT R
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(774) 242-4250
Mailing address
9 MERRIFIELD ST, WORCESTER, MA 01605-3488
(774) 242-4250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RHF00104198
CA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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