Individual
SUSAN LAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 657-7876
(619) 543-3475
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
238632
MA
208800000X
Urology Physician
Primary
C137247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C137247
CA LICENSE
CA
Enumeration date
02/26/2007
Last updated
10/11/2018
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