Individual
DR. LAUREN L REAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD, 990W, SANTA MONICA, CA 90404-2103
(310) 829-4484
(310) 829-4481
Mailing address
2001 SANTA MONICA BLVD, 990W, SANTA MONICA, CA 90404-2103
(310) 829-4484
(310) 829-4481
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A21656
CA
207ND0900X
Dermatopathology Physician
A21656
CA
207NS0135X
Procedural Dermatology Physician
A21656
CA
Other
Enumeration date
03/08/2006
Last updated
06/10/2010
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