Individual
CONRAD EUGEN LACOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, EDIC
Contact information
Practice address
521 PARNASSUS AVE., SAN FRANCISCO, CA 94143-0955
(415) 476-9043
Mailing address
521 PARNASSUS AVE., SAN FRANCISCO, CA 94143-0955
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
69404-85
ZZ
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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